Nguyen Minh Duc
Department of Radiology, Hanoi Medical University, Hanoi 100000, Vietnam.
Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 700000, Vietnam.
Asian Biomed (Res Rev News). 2021 Aug 20;15(4):191-195. doi: 10.2478/abm-2021-0024. eCollection 2021 Aug.
Typically, an intracranial tuberculoma occurs within the brain parenchyma. Intraventricular tuberculomas are rare in the absence of systemic tuberculosis (TB), and the differential diagnosis between tuberculoma and other lesions, such as primary brain tumors, can be difficult. We report an extremely unusual case of solitary fourth-ventricular tuberculoma, which occurred in a 3-year-old female patient, with no indication of TB. This lesion appeared as a primary intraventricular tumor in the fourth ventricle in both clinical and radiological examinations. In this scenario, a surgical treatment option was pursued. Histopathological testing supported the diagnosis of tuberculoma. The patient was subsequently treated with 18 months' therapy for tuberculous, without adverse events.
通常情况下，颅内结核瘤发生于脑实质内。在无系统性结核病（TB）的情况下，脑室内结核瘤较为罕见，并且结核瘤与其他病变（如原发性脑肿瘤）之间的鉴别诊断可能存在困难。我们报告了一例极为罕见的孤立性第四脑室结核瘤病例，该病例发生在一名3岁女性患者身上，且无结核病迹象。在临床和影像学检查中，该病变均表现为第四脑室内的原发性脑肿瘤。在此情况下，采取了手术治疗方案。组织病理学检查支持结核瘤的诊断。该患者随后接受了为期18个月的抗结核治疗，未出现不良事件。
