Department of Neurosurgery, Neuro Cardio and Multispecialty Hospital, Jahada Road, Biratnagar, Nepal.
Department of Ophthalmology, Neuro Cardio and Multispecialty Hospital, Jahada Road, Biratnagar, Nepal.
J Nepal Health Res Counc. 2020 Apr 20;18(1):138-141. doi: 10.33314/jnhrc.v18i1.2160.
Cerebral tuberculoma of the brain are uncommon presentation of tuberculosis (1%). A 17-year female presented to the emergency with a Glasgow Coma Score of (eye-1, verbal-1 and motor-3), 5/15 bilateral fixed pupils with laborious breathing. The radiological features were suggestive of aintracerebral abscess/ glioma. Intraoperatively the brain was very tense and a large, vascular, mass was present that was excised completely. Her histopathology revealed features of tuberculoma and she was started on anti-tubercular treatment. She is discharged home with regular follow-up for the last 10 months.Cerebral tuberculoma although uncommon should be thought of in developing countries as differential of cystic enhancing lesions of the brain. Keywords: Abscess; central nervous system; glioma; tuberculoma; tuberculosis.
脑结核瘤是结核病(1%)不常见的表现形式。一名 17 岁女性因格拉斯哥昏迷评分(眼-1,言语-1,运动-3),双侧固定瞳孔 5/15,呼吸困难而到急诊就诊。影像学特征提示为脑脓肿/胶质瘤。术中发现大脑非常紧张,存在一个大的、血管丰富的肿块,并被完全切除。她的组织病理学显示出结核瘤的特征,随后开始接受抗结核治疗。在过去的 10 个月中,她一直在定期随访中出院回家。脑结核瘤虽然不常见,但在发展中国家应考虑作为脑囊性增强病变的鉴别诊断。关键词:脓肿;中枢神经系统;胶质瘤;结核瘤;结核病。