Intracranial Tuberculomas: An Unusual Cause of Altered Mental Status in a Pediatric Patient
| Autor: | Delon F. P. Brennen, James D. Krygowski, Francis L. Counselman |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Tuberculosis medicine.diagnostic_test Tuberculosis Miliary business.industry Choreoathetosis Physical examination Disorders of Excessive Somnolence Emergency department medicine.disease Lethargy Tuberculoma Intracranial Child Preschool Epidemiology Emergency Medicine medicine Humans Tuberculoma Radiology medicine.symptom business Gait Disorders Neurologic Somnolence |
| Zdroj: | The Journal of Emergency Medicine. 38:323-327 |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/j.jemermed.2007.10.060 |
| Popis: | A 2-year-old boy was brought to the Emergency Department (ED) with a complaint of 3-week history of increasing lethargy, weight loss, intermittent low grade fever, and right-sided tremor. A non-contrast computed tomography (CT) scan of the head, ordered by the patient's pediatrician, was interpreted as abnormal and the patient was referred to the ED for further evaluation. Physical examination was remarkable for somnolence requiring tactile stimulation to arouse the patient. Neurologic examination revealed right-sided choreoathetosis and unsteady gait. A contrast CT scan of the head demonstrated multiple ring-enhancing lesions throughout the brain and mild to moderate third and lateral ventricular enlargement. In view of the positive purified protein derivative test, chest X-ray study, and gastric aspirates positive for tuberculosis, a diagnosis of intracranial tuberculomas was made. The epidemiology, clinical presentation, diagnostic evaluation, and management of intracranial tuberculomas are reviewed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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