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妊娠期以癫痫发作为表现的脑结核瘤的诊断挑战。

Diagnostic challenges in cerebral tuberculoma presenting with seizures in pregnancy.

作者信息

Sujithra Devi R, Priya Sathiya, Kumari Manoranjitha, Ramkumar G, Jinkala SreeRekha, Maurya Dilip Kumar, Keepanasseril Anish

机构信息

Department of Obstetrics & Gynaecology, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India, 605006.

Department of Neurosurgery, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India, 605006.

出版信息

Obstet Med. 2023 Sep;16(3):192-195. doi: 10.1177/1753495X221078695. Epub 2022 Feb 15.

Abstract

Tuberculoma is an uncommon presentation of tuberculosis and is found in regions with a high prevalence of tuberculosis. This is rarely diagnosed during pregnancy. The presentation can mimic other etiologies such as eclampsia or cerebral venous sinus thrombosis so the diagnosis can be challenging, particularly when presenting with seizures in pregnancy. Described here is a woman in her first pregnancy who presented with seizures mimicking eclampsia and was suspected to have a brain tumour on neuroimaging. She was diagnosed to have a intracerebral tuberculoma on histopathological examination following surgical decompression after delivery.

摘要

结核瘤是结核病的一种罕见表现形式,在结核病高发地区较为常见。孕期很少诊断出结核瘤。其表现可能类似子痫或脑静脉窦血栓形成等其他病因,因此诊断颇具挑战性,尤其是在孕期出现癫痫发作时。本文描述了一名初产妇,她出现类似子痫的癫痫发作,神经影像学检查怀疑患有脑肿瘤。产后手术减压后,经组织病理学检查诊断为脑内结核瘤。

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