额叶结核瘤：临床与影像学挑战
Frontal Lobe Tuberculoma: A Clinical and Imaging Challenge.
作者信息
Alemayehu Tinsae, Ergete Wondwossen, Abebe Workeabeba
机构信息
Department of Pediatrics and Child Health, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Department of Pathology, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
出版信息
Ethiop J Health Sci. 2017 Nov;27(6):677-680. doi: 10.4314/ejhs.v27i6.13.
BACKGROUND
Pediatric nervous system tuberculomas are usually infra-tentorial and multiple. A frontal lobe location is rare.
CASE DETAILS
We report a 10 year-old boy who presented with a chronic headache and episodes of loss of consciousness. He had no signs of primary pulmonary tuberculosis and a diagnosis of frontal tuberculoma was made upon a post-operative biopsy. He improved following treatment with anti-tubercular drugs.
CONCLUSION
Tuberculosis should be considered in children with a chronic headache or focal neurologic deficit and a supra-tentorial intracranial mass in endemic countries like Ethiopia.
背景
小儿神经系统结核瘤通常位于幕下且为多发。额叶部位的结核瘤较为罕见。
病例详情
我们报告一名10岁男孩，他出现慢性头痛和意识丧失发作。他没有原发性肺结核的体征，术后活检确诊为额叶结核瘤。抗结核药物治疗后他病情好转。
结论
在像埃塞俄比亚这样的流行国家，对于有慢性头痛或局灶性神经功能缺损且幕上颅内肿块的儿童，应考虑结核病。
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