MRI findings of intracranial tuberculomas

Sönmez, Güner; Öztürk, Ersin; Sildiroglu, Huseyin Onur; Mutlu, Hakan; Cuce, Ferhat; Şenol, Mehmet Güney; Kutlu, Ali; Başekim, C. Çınar; Kızılkaya, Eşref

doi:10.1016/j.clinimag.2007.08.024

Cited by 62 publications

(69 citation statements)

References 11 publications

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“…For tuberculoma, MRI can demonstrate the typical features of contrast-enhancing ring lesions with surrounding oedema (6). We found that Gd-enhanced T1-weighted images showed nodular hyperintense lesions and T2-weighted images showed hyperintense ring-like lesions with surrounding oedema in our patient.…”

Section: Discussionsupporting

confidence: 51%

“…Similar clinical features exist in either intracranial tuberculoma or NCC patients. As only 1% of patients with tuberculosis develop intracranial tuberculoma (9), there are few clinical studies on this condition (6,(10)(11)(12). Early stage intracranial tuberculoma and NCC are difficult to distinguish and can only be differentiated by clinical and laboratory features and patient history (10, 13).…”

Section: Discussionmentioning

confidence: 99%

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Disseminated Intracranial Tuberculoma Mimicking Neurocysticercosis

Zhang

Qiu

2011

Intern. Med.

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Intracranial tuberculoma and neurocysticercosis (NCC) are the most frequent granulomatous infections in the central nervous system. Here we report a 41-year-old man with disseminated intracranial tuberculoma mimicking NCC. The patient complained of relapsing vertigo and vomiting consistent with Bruns syndrome. Serum antibodies against cysticercosis were positive. Magnetic resonance imaging (MRI) of the brain showed multiple disseminated ring-enhanced lesions. An initial diagnosis of NCC was made based on clinical signs and MRI. However, during antiparasitic treatment, the patient exhibited fever, meningitis signs, and positive cerebrospinal fluid findings for tuberculosis. The diagnosis was therefore corrected as tuberculoma. After three months of antituberculous treatment, the patient recovered clinically and on MRI. Our results highlight the importance of differential diagnosis of these two diseases in the early stage.

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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Disseminated Intracranial Tuberculoma Mimicking Neurocysticercosis

Zhang

Qiu

2011

Intern. Med.

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“…Below are the main findings, advantages and disadvantages of each current diagnostic method in neurotuberculosis (Desai et al, 2006;Sonmeza et al, 2008;Nyendak et al, 2009;Davies & Pai 2008) a. CSF cytology. Main findings: at the onset mixed pleocytosis with mainly lymphocytes(80-90%) and the presence of neutrophils (10-20%); in the later stages, only lymphocytes.…”

Section: Advantages and Disadvantages Of Current Diagnostic Techniquementioning

confidence: 99%

Immunologic Diagnosis of Neurotuberculosis

Alexandra¹,

Dorina²,

Gabriela³

et al. 2012

Understanding Tuberculosis - Global Experiences and Innovative Approaches to the Diagnosis

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“…Central nervous system (CNS) involvement such as meningitis, solitary tuberculoma, abscess, infarct, or miliary parenchymal lesion is seen in approximately 5-10% of tuberculosis cases (5). Intracranial tuberculomas are tumorlike lumps generated by the tuberculosis granulation tissue in the brain parenchyma, and are seen more rarely than other types of tuberculosis (10). When they are very big, tuberculomas may result in nonspecific neurologic deficits associated with increased intracranial compression, local compression-related neurologic findings, or epileptic attacks.…”

Section: Introductionmentioning

confidence: 99%

“…Tuberculosis is an infectious disease that is frequently seen in developing countries and continues to threaten people's health (10). Central nervous system (CNS) involvement such as meningitis, solitary tuberculoma, abscess, infarct, or miliary parenchymal lesion is seen in approximately 5-10% of tuberculosis cases (5).…”

Section: Introductionmentioning

confidence: 99%

Intracranial giant tuberculoma mimicking brain tumor: a case report

Sümer¹,

Köktekir²,

Demir³

et al. 2014

Turkish Neurosurgery

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Tuberculomas are small tumor-like lumps that can be seen, usually in large numbers, in central nervous system involvement of tuberculosis. Giant tuberculomas that are big enough to cause symptoms of compression are also encountered, though rarely. When they are really large, tuberculomas may result in increased intracranial compression, neurologic deficits, or epileptic attacks. Giant tuberculomas may be confused with brain tumors on cranial magnetic resonance imaging. Cranial magnetic resonance imaging and histopathology examinations are used for diagnosis. Although magnetic resonance imaging is useful for diagnosing tuberculoma, histopathology examination is the gold standard for a final diagnosis. This paper presents a case involving a 66-year-old patient who complained of headache, imbalance and dizziness, and underwent an operation in the neurosurgery clinic with a pre-diagnosis of brain tumor, and was then diagnosed with intracranial giant tuberculoma. KEywoRds: Brain tumor, Giant tuberculoma, Tuberculosis ÖZTüberkülomlar, tüberkülozun santral sinir sistemi tutulumunda görülebilen, genellikle çok sayıda, küçük tümör benzeri kitlelerdir. Nadiren bası semptomlarına neden olacak kadar büyük dev tüberkülomlara da rastlanabilir. Tüberkülomlar, çok büyük oldukları zaman kafa içi basınç artışı, nörolojik defisitler veya epilepsi nöbetlerine neden olabilir. Dev tüberkülomlar, kranial manyetik rezonans görüntülemede beyin tümörleri ile karışabilir. Tanıda kranial manyetik rezonans görüntüleme (MRG) ve histopatolojik incelemeler kullanılır. MRG tüberkülom tanısında faydalı olmakla birlikte, histopatolojik inceleme kesin tanı için altın standarttır. Makalede 66 yaşında baş ağrısı, dengesizlik ve baş dönmesi şikayeti ile başvuran, beyin ve sinir cerrahisi kliniğinde beyin tümörü ön tanısıyla opere edilen ve intrakranial dev tüberkülom tanısı alan bir olgu sunulmuştur.ANAhTAR sÖZCÜKlER: Beyin tümörü, Dev tüberkülom, Tüberküloz

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MRI findings of intracranial tuberculomas

Cited by 62 publications

References 11 publications

Disseminated Intracranial Tuberculoma Mimicking Neurocysticercosis

Disseminated Intracranial Tuberculoma Mimicking Neurocysticercosis

Immunologic Diagnosis of Neurotuberculosis

Intracranial giant tuberculoma mimicking brain tumor: a case report

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