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第四脑室结核瘤:一种不常见的部位。

Tuberculoma in the Fourth Ventricle: An Unusual Location.

机构信息

Neurosurgery Department, Center for Research and Training in Neurosurgery (CIEN), Samaritana University Hospital, Rosario University School of Medicine, Bogotá, Colombia.

出版信息

Turk Neurosurg. 2021;31(4):658-660. doi: 10.5137/1019-5149.JTN.32344-20.1.

Abstract

To present a young immunocompetent patient with a fourth ventricle tuberculoma without pulmonary tuberculosis. A previously healthy young male patient presented with a history of headache, nausea, and blurred vision. Neuroimaging revealed a mass present in the fourth ventricle. The lesion was successfully resected. Histological and microbiological findings suggested the presence of a tuberculoma. Tuberculomas can be found in the posterior fossa in adults. This infectious pathology should not be forsaken when considering the differential diagnosis for infratentorial masses.

摘要

现介绍一例无肺结核的第四脑室结核瘤的免疫功能健全的年轻患者。一名既往健康的年轻男性患者,表现为头痛、恶心和视力模糊。神经影像学显示第四脑室有一肿块。病变成功切除。组织学和微生物学检查结果提示为结核瘤。在成年人中,结核瘤可发生在后颅窝。在考虑小脑幕下肿块的鉴别诊断时,不应忽视这种感染性病变。

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