Diagnostic Dilemma of Central Nervous System Tuberculosis with Neurocysticercosis and Neurosarcoidosis: A Case Report.

Autor:	Bajracharya N; KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal., Lamichhane S; Shishuwa Hospital, Lekhnath, Pokhara, Nepal., Lamichhane P; KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal., Bishowkarma D; KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal., Acharya A; Sundarbazar Hospital, Sundarbazar, Lamjung, Nepal., Sharma S; KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal., Pandit P; KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal.
Jazyk:	angličtina
Zdroj:	JNMA; journal of the Nepal Medical Association [JNMA J Nepal Med Assoc] 2023 Feb 01; Vol. 61 (258), pp. 188-191. Date of Electronic Publication: 2023 Feb 01.
DOI:	10.31729/jnma.8043
Abstrakt:	Multiple ring-enhancing lesions are commonly encountered abnormalities in neuroimaging. There are many differentials for such lesions as infections, neoplasms, vascular lesions, inflammatory and demyelinating conditions, and granulomatous diseases. In developing countries, tuberculoma and neurocysticercosis are the two important etiologies to be considered. This case report illustrates how multiple ring-enhancing lesions can lead to our management in one direction while the true diagnosis remains elusive. A 53-year-old male who presented with a headache was initially diagnosed and treated as neurocysticercosis, then neurosarcoidosis ultimately turned out to be a case of Central Nervous System Tuberculosis on further evaluation. Consideration of only clinical scenarios and neurological imaging can lead to diagnostic inaccuracy, mismanagement and poor outcome, therefore, other supporting lab investigations should be considered for making a correct diagnosis. Keywords: brain; case reports; neurocysticercosis; sarcoidosis; tuberculoma.
Databáze:	MEDLINE
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