An unusual intraventricular lesion: tuberculoma

Sönmez, Güner; Öztürk, Ersin; Mutlu, Hakan; Sıldıroğlu, Onur; Haholu, Abdullah; Kutlu, Ali; Başekim, C. Çınar; Kızılkaya, Eşref

doi:10.1016/j.neurad.2007.06.008

Cited by 10 publications

(23 citation statements)

References 5 publications

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“…MR imaging usually shows tuberculoma as peripherally isointense and centrally hypointense on T1-weighted images. The isointense region becomes hypointense on T2-weighted images with enhancement by gadolinium injection [4,[10][11][12]. These data were found in our case.…”

Section: Discussionsupporting

confidence: 83%

Intraventricular tuberculoma: A case report

Coulibaly¹,

Diawara²,

Quenum³

et al. 2013

CRCM

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Intracranial tuberculomas are one of the most serious formsof tuberculosis disease after meningitis tuberculosis. It incidence varies around 0.15% -0.18% in the development world to 5% -30% of intracranial masses in some under developments areas. These tuberculomas, of course ubiquitous, are mostly diagnosed in the adulthood and usually located in the cerebellum and the cerebral hemispheres. Intra ventricular involving is uncommon and just 10 cases had been described in the literature. We report a case of an intraventricular tuberculoma in a 26-year-old man and we discuss the pathogenesis and the radiological findings according this location.

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Section: Discussionsupporting

confidence: 83%

Intraventricular tuberculoma: A case report

Coulibaly¹,

Diawara²,

Quenum³

et al. 2013

CRCM

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“…Intraventricular tuberculomas are rare, and only few cases, i.e. less than 20, have been reported in the literature [2,[4][5][6][7][8] , out of which 5 were paediatric patients [2,4] ( Table 1 ). Three paediatric patients had pure intraventricular tuberculoma in the frontal horn attached to the ependyma and the septum pellucidum while 1 had thalamic tuberculoma extending into the ventricle [2] .…”

Section: Discussionmentioning

confidence: 99%

“…Tubercles may be found adhering to the choroid plexus but tuberculoma occurs rarely, and the exact mechanism is not known; however, good vascularity of the ventricle is hypothesized to be protective [2,5,6] . Haematogenous spread through the choroid plexus appears to be the most likely mechanism; however, it can also occur due to enlargement of choroid plexus tuberculoma [2,[5][6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

Intraventricular Tuberculoma in a Child: A Rare Location

Sachdeva

Bishnoi²,

Jagetia³

et al. 2016

Pediatr Neurosurg

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Intracranial tuberculoma is an uncommon presentation of tuberculosis, and its occurrence in an intraventricular location is very rare. It is usually confused with glioma, parasitic cyst, and craniopharyngioma. Few case reports exist in the literature on this entity. We report a case of tuberculoma at the foramen of Monro in a 7-year-old child and review the literature in terms of diagnostic dilemma.

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“… 1 Clinical features of patients with intraventricular tuberculomas are nonspecific and MRI plays a crucial role in diagnosis and monitoring treatmentâ€™s response. 2 , 3 A few cases of intraventricular tuberculomas associated with parenchymal lesions, meningitis or ventriculitis are reported, 3 - 8 but solitary intraventricular tuberculomas involving the choroid plexus are extremely rare and only 3 cases have been previously reported. 9 There is paucity of literature concerning treatment aspects of neurotuberculosis with ventricular involvement.…”

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confidence: 99%

“… 3 These lesions might be recalcitrant due to the poor drug levels within the cerebrospinal fluid (CSF) or as an indirect effect of immune resistance. 8 Previous descriptions of treatment modalities for intraventricular tuberculoma included medical therapy in children and surgical excision of the lesion in adults. We describe a patient with tubercular meningitis who developed intraventricular lesion, and discuss the treatment aspects and peculiarities of ventricular involvement of neurotuberculosis.…”

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confidence: 99%

Choroid plexus tuberculoma

Sadashiva

Nandeesh

Shukla

et al. 2017

NSJ

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Ventricular involvement in central nervous system tuberculosis can be in the form of tuberculous ependymitis, intraventricular tuberculoma, intraventricular tuberculous abscess, choroid plexitis and choroid plexus tuberculoma. Only a few cases of choroid plexus tuberculomas have been described and even more rare is the description of the role of endoscopy in management of intraventricular tuberculomas. We report a 33-year-old patient while on treatment for tubercular meningitis who developed a left side choroid plexus lesion with loculated temporal horn. To confirm the diagnosis, endoscopic biopsy of the lesion was carried out. The final histopathology was tuberculoma. Intraventricular tuberculomas are usually associated with recalcitrant lesions, probably due to the poor drug levels within the CSF or as an indirect effect of immune resistance and biopsy becomes important to rule out other possibilities.

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An unusual intraventricular lesion: tuberculoma

Cited by 10 publications

References 5 publications

Intraventricular tuberculoma: A case report

Intraventricular tuberculoma: A case report

Intraventricular Tuberculoma in a Child: A Rare Location

Choroid plexus tuberculoma

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