A Compartive Study of Brain Tuberculomas and Gliomas Based Upon 107 Case Records of Each

Dastur, H. M.; Desai, Arjun

doi:10.1093/brain/88.2.375

Cited by 142 publications

(81 citation statements)

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“…12,11) In our case, a small amount of yellowish-white, pus-like fluid flowed from the tuber culoma, but unfortunately this thick fluid was not analyzed. Similar pus or pus-like substances have been mentioned in the literature on tuberculoma, 8,11) but details as to whether the materials were caseated tubercular debris or real pus containing tubercle bacilli were not given. Some authors have verified acid-fast bacilli in the lesions, as we did, and em phasized the importance of this finding in terms of differentiating tuberculoma from other forms of granuloma,7,30) although these bacilli cannot always be found in the lesions.…”

Section: Discussionmentioning

confidence: 94%

Cerebellar Tuberculoma

Wakisaka

Soejima

Matsuoka

1987

Neurol. Med. Chir.(Tokyo)

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A case of a solitary cerebellar tuberculoma in a 67-year-old male is presented. The patient showed signs and symptoms of acute obstructive hydrocephalus, necessitating surgical removal of the tumor. Combined treatment with antituberculosis drugs, not only pre and postoperatively but also intra operatively, proved beneficial, and postoperative meningitis did not develop. Steroids also produced dramatic clinical improvement without causing spread of the tuberculosis.Since intracranial tuber culoma is rarely encountered in present-day Japan, it is not likely to be considered when signs and symptoms suggest an intracranial mass lesion. Therefore, it must be emphasized that the first and most important step in the diagnosis of intracranial tuberculoma is to suspect it. The incidence and ages of patients as well as the locations of intracranial tuberculomas, their relationship to tuberculous abscesses, neuroradiological features, and therapeutical methods are reviewed.

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Section: Discussionmentioning

confidence: 94%

Cerebellar Tuberculoma

Wakisaka

Soejima

Matsuoka

1987

Neurol. Med. Chir.(Tokyo)

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“…In earlier studies, the incidence of CNS tuberculoma in Britain has been found to be about 0.15% of space occupying lesions in brain [5][6] compared to 20% to 30% in India [7] .Tuberculosis accounts for about 5% of extra pulmonary cases in United States. Presentation of brainstem tuberculoma can be variable.…”

Section: Discussionmentioning

confidence: 99%

Brainstem Tuberculoma Presenting As Stroke

Gautam¹

2013

IOSR-JDMS

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“…Even in India, where systemic tuberculosis is widespread, the presentation of tuberculoma as a dura-based mass is rare. 2) In previously reported cases with meningeal tuberculoma, CT and MR imaging were unable to differentiate the lesions from meningioma and surgery was required for diagnosis. 1,3,4,8,12,14) Our patient manifested paradoxical worsening that was overcome by the continuation of anti-tuberculous treatment.…”

Section: Discussionmentioning

confidence: 99%

Multiple Meningeal Tuberculomas Recurring After 18-Month Anti-tuberculous Chemotherapy-Case Report-

Takeshima

Kawahara

Kuratsu

2004

Neurol. Med. Chir.(Tokyo)

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A 26-year-old man with multiple intracranial masses widely attached to the dura presented with hypopituitarism and sexual impotence. Magnetic resonance imaging showed the lesions were isointense on the T 1 -weighted and hypointense on the T 2 -weighted images, and involved the bilateral sphenoid ridges, the convexity, and tentorial incisura. The lesion was partially removed via the right pterional approach. Histological examination identified tuberculoma associated with giant cells and caseous necrosis. Although his neurological and radiological signs worsened paradoxically during anti-tuberculosis therapy, he recovered spontaneously upon continuation of the anti-tuberculous treatment. However, he suffered recurrence as tuberculous meningitis, after administration of anti-tuberculous therapy for 18 months. Additional anti-tuberculous treatment for 12 months stabilized the disease. Tuberculoma should be included in the differential diagnosis of enhanced intracranial mass lesions. Anti-tuberculous therapy may require extended periods of up to 36 months to stabilize the disease.

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A Compartive Study of Brain Tuberculomas and Gliomas Based Upon 107 Case Records of Each

Cited by 142 publications

References 0 publications

Cerebellar Tuberculoma

Cerebellar Tuberculoma

Brainstem Tuberculoma Presenting As Stroke

Multiple Meningeal Tuberculomas Recurring After 18-Month Anti-tuberculous Chemotherapy-Case Report-

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