Gondal Murtaza, Mushtaq Sumera, Hussain Tassawar
Department of Medicine, Foundation University Medical College and Hospital, Rawalpindi.
J Coll Physicians Surg Pak. 2013 Oct;23(10):748-9. doi: 10.2013/JCPSP.748749.
Brain tuberculosis is still prevalent in many developing countries, especially Asian countries. Tuberculomas should always be considered in the differential diagnosis of enhancing intra-axial lesions of the brain. Brain tuberculomas can present in many different clinical and radiological patterns clinically like headache, fits, cranial nerve palsies and very rarely as brain tuberculomas. We describe the case of a 48 years old male patient presenting with persistent headache and fits, referred for workup of brain metastasis or primary brain neoplasm. On further imaging, it turned out to be multiple tuberculomas of brain which resolved on anti-tuberculous treatment along with symptoms relief.
脑结核在许多发展中国家，尤其是亚洲国家仍然很普遍。在鉴别诊断脑内强化性轴内病变时，始终应考虑结核瘤。脑结核瘤在临床上可有多种不同的临床表现和影像学表现，如头痛、癫痫发作、颅神经麻痹，极少情况下表现为脑结核瘤。我们描述了一例48岁男性患者，因持续性头痛和癫痫发作就诊，转诊以排查脑转移瘤或原发性脑肿瘤。进一步影像学检查发现是多发性脑结核瘤，抗结核治疗后病灶消退，症状缓解。
