Vallee B, Krifa H, Jlidi R, Ben Hamouda M, Leconte P, Nasri E
Service de Neurochirurgie, C.H.U. de Sousse, Tunisie.
Neurochirurgie. 1989;35(2):140-4.
An unusual case of multiple cerebral tuberculomas is reported. The patient, a 19-year-old woman, presented with a 6-month history of raised intracranial pressure and cerebellar symptoms. CT scan disclosed a conglomerate of several ring-enhancing lesions within the cerebellar vermis and another homogeneously enhancing mass against the right occipital horn. Solid and ring-enhancing lesions are the main mode of presentation of cerebral tuberculomas. Although the patient had no history of systemic tuberculosis, this diagnosis was considered highly probable in this geographic area and was confirmed by pathological examination of the cerebellar mass, the excision of which was considered necessary. Antitubercular medications led to complete regression of the associated occipital lesion, as demonstrated by sequential CT scan examinations.
报告了一例罕见的多发性脑结核瘤病例。患者为一名19岁女性，有6个月颅内压升高和小脑症状的病史。CT扫描显示小脑蚓部有几个环形强化病变的聚集，以及右侧枕角处另一个均匀强化的肿块。实性和环形强化病变是脑结核瘤的主要表现形式。尽管患者无全身性结核病病史，但在该地区此诊断高度可疑，并通过小脑肿块的病理检查得到证实，因此认为有必要切除该肿块。后续CT扫描检查显示，抗结核药物治疗使相关的枕部病变完全消退。
