A cystic cerebral tuberculoma treated surgically

Abstract

In the lesser developed countries of Africa and Asia tuberculosis is widely prevalent in all its various forms and still presents a major health problem. It is therefore not surprising that 20 to 25% of brain tumours prove to be tuberculomas so that this condition is not rare as it is in the West. In this department, which has been functioning now for over five years, more than 95 patients have already undergone operative excision of brain tuberculomas. In a histopathological analysis of 452 intracranial spaceoccupying lesions studied over the past eight and a half years at the Neuropathology Unit (Dastur and Iyer, 1961), 102 or 23% were found to be tuberculomas. The great majority of these have conformed to the types described in standard works on neurology and neuropathology (

Intracranial Tuberculous Abscess mimicking Pyogenic Brain Abscess

“…Since th e incid ence of intracran ial mani festation s of tub erculosis dropped drasticall y a fter int roduetion of mod ern tub erculos ta tic agents , the po ssibility of tu berculou s infec tion of th e central nervou s system is rarely tak en int o co nside ra tion when eva lua ting infections of the centra l nervo us system. This situa tion is different in countries with higher rare s of int rac ra nia l tub ercul ou s manifestat ions, as reported fro m India (3,6,13 ) or, e.g., from Grea t Brita in. In Great Britain usuall y immigran ts from the Indian subcontinent are responsible for the higher ra te of incidence of cereb ral tuberculous manifestation s (1,8,10,12,16).…”

Tuberculomas of the brain in Britain

“…In 6% the tuberculoma is mainly extracerebral with a wide attachment to the dura, thus resembling a meningioma (Dastur & Desia, 1965). An apparently unique cystic tuberculoma of the cerebral hemisphere has been described (Dastur, Desai & Desai, 1962). Usually only a single tuberculoma is found.…”

Cystic Tuberculomas of the Brain-Two Case Reports-

“…1) The cyst contained xanthochromic fluid and was located within the tuberculoma. A localized frontal tubercu loma with a cyst was described in 1963.…”