Brain Tuberculoma as a Differential Diagnosis of Single Intracranial Lesion: Case Report

Abstract Tuberculosis (TB) of the central nervous system (CNS) is considered one of the most severe forms of presentation of the disease. Although only 1% of TB cases involve the CNS, these cases represent around between 5 and 15% of extrapulmonary forms.1 2 Tuberculous meningitis (TBM) is the most...

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Bibliographic Details
Published in:Arquivos brasileiros de neurocirurgia Vol. 39; no. 2; pp. 142 - 145
Main Authors: Gregol, Bruno Missio, Berres, Taís Otilia, Barreto, Tasso, Giacomelli, Richard, Schwingel, Daniela, Oleksinski, Clarissa Giaretta, Mesquita Filho, Paulo Moacir
Format: Journal Article
Language:English
Published: Thieme Revinter Publicações Ltda 01-06-2020
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Summary:Abstract Tuberculosis (TB) of the central nervous system (CNS) is considered one of the most severe forms of presentation of the disease. Although only 1% of TB cases involve the CNS, these cases represent around between 5 and 15% of extrapulmonary forms.1 2 Tuberculous meningitis (TBM) is the most frequent form of CNS TB. The granulomas formed in the cerebral tuberculoma may cause hydrocephalus and other symptoms indicative of a CNS mass lesion. In the absence of active TB or TBM, the symptoms may be interpreted as indicative of tumors.3 4 The prognosis is directly related to the early diagnosis and proper treatment installation.5 We report the case of a patient with intracranial hypertension syndrome, expansive mass in the parieto-occipital region, accompanied by a lesion in the rib, initially thought to be a metastatic lesion, although posteriorly diagnosed as a cerebral tuberculoma.
ISSN:0103-5355
2359-5922
DOI:10.1055/s-0040-1708895