Intracranial Tuberculoma Mimicking Neurosarcoidosis: A Clinical Challenge
| Autor: | Fatemah Abbasi, Marc Whitman, Babak Jamasian Mobarekah, Suleyman Yasin Goksu, Muhammet Ozer, Kirti Juneja |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Tuberculosis Central nervous system intracranial tuberculoma Case Report 03 medical and health sciences brain biopsy 0302 clinical medicine Pathology Result medicine AFB culture neurosarcoidosis medicine.diagnostic_test business.industry Brain biopsy Neurosarcoidosis lcsh:Other systems of medicine medicine.disease lcsh:RZ201-999 Infectious Diseases medicine.anatomical_structure non-caseous granuloma 030220 oncology & carcinogenesis Granuloma Tuberculoma Radiology Differential diagnosis business 030217 neurology & neurosurgery |
| Zdroj: | Infectious Disease Reports Infectious Disease Reports, Vol 13, Iss 20, Pp 181-186 (2021) |
| ISSN: | 2036-7449 2036-7430 |
| Popis: | Central nervous system (CNS) tuberculosis is a rare manifestation of all tuberculosis presentations. The incidence of brain tuberculoma is increasing in developed countries due to HIV infection and immigration from tuberculosis-endemic countries. Symptoms and radiologic findings of CNS tuberculosis can be non-specific and lead to misdiagnosis or mistreatment. Intracranial tuberculoma can present with a seizure, intracranial hypertension, or focal neurologic symptoms. In our case, the diagnosis was challenging between neurosarcoidosis and intracranial tuberculoma due to inconclusive results of stereotactic brain biopsy and clinical presentation. The pathology result of the open brain biopsy revealed non-caseating granuloma. Finally, we were able to diagnose intracranial tuberculoma following acid-fast bacilli culture results of open brain biopsy. This report highlights the importance of including intracranial tuberculoma in the differential diagnosis of cerebral space-occupying lesions, even in patients with negative laboratory findings of tuberculosis. |
| Databáze: | OpenAIRE |
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