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右额叶脑结核瘤致昏迷患者。

Cerebral Tuberculoma of Right Frontal Lobe in an Unconscious Patient.

机构信息

Department of Neurosurgery, Neuro Cardio and Multispecialty Hospital, Jahada Road, Biratnagar, Nepal.

Department of Ophthalmology, Neuro Cardio and Multispecialty Hospital, Jahada Road, Biratnagar, Nepal.

出版信息

J Nepal Health Res Counc. 2020 Apr 20;18(1):138-141. doi: 10.33314/jnhrc.v18i1.2160.

Abstract

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.

摘要

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。

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