Cranial epidural tuberculoma: A case report

Crinon, Jacques; Boukobza, Monique; Polivka, Marc; Ferrario, A.; George, Bernard; Merland, J. J.

doi:10.1080/028418500127345488

Cited by 10 publications

(3 citation statements)

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“…7 Intraparenchymal granulomatous lesions and chronic meningitis are the most common forms of central nervous system tuberculosis. 1,8 The presentation of a tuberculoma as a dura-based mass is unusual. Bauer et al 7 reported a case with intracranial tuberculoma that was initially diagnosed as an en plaque meningioma.…”

Section: Discussionmentioning

confidence: 98%

Tuberculoma of the Cervical Spinal Canal Mimicking En Plaque Meningioma

Mirzai

2005

Journal of Spinal Disorders & Techniques

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A previously healthy, HIV-negative, 40-year-old man presented with a 2-month history of progressive weakness of his left arm. Magnetic resonance imaging revealed an intradural, extramedullary plaque-shaped lesion at C6-T1 levels with high contrast enhancement. Based on the patient's clinical and radiologic findings, it was believed that the patient had an en plaque meningioma, and he was operated on. Histologic examination of the mass revealed granulomas with multinucleated and Langhans-type giant cells, typical of a tuberculoma. Intradural extramedullary tuberculomas should be considered in the differential diagnosis of en plaque meningioma as a rare entity.

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Section: Discussionmentioning

confidence: 98%

Tuberculoma of the Cervical Spinal Canal Mimicking En Plaque Meningioma

Mirzai

2005

Journal of Spinal Disorders & Techniques

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“…In view of herniation syndrome, urgent surgical decompression of the lesion was performed, and the histopathology showed features of tuberculosis [ 15 ]. Other than the above cases, intracranial tuberculoma of the dura mater with or without bone destruction has been reported [ 16 , 17 ]. Also, dural-based soft tissue nodular mass with diffuse homogenous enhancement with prominent vasogenic oedema involving the underlying cerebral hemisphere was also reported [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Pachymeningitis Presenting as a Diffused Dural Thickening in a Patient with Chronic Headache and Recurrent Neurological Abnormalities for More than a Decade: A Case Report and a Review of the Literature

Fonseka

Kanakkahewa

Singhapura

et al. 2018

Case Reports in Infectious Diseases

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Background Tuberculous pachymeningitis is a rare form of extrapulmonary tuberculosis usually suspected from the detection of thickening of the dura in contrast-enhanced magnetic resonance imaging. Progressive nature of the disease can lead to chronic headache with focal neurological signs due to compression from the thickened dura. Case Report We report a 40-year-old female who presented with chronic headache over a decade associated with recurrent neurological abnormalities including optic neuritis, hemisensory loss, migraine, facial nerve palsy, and recurrent vertigo. Although there was an initial perceived response to steroids, the patient had a subsequent progressive course. On investigations, she was found to have a diffused dural thickening on contrast MRI with a strongly positive Mantoux test with caseating necrotizing granulomatous inflammation on dural histology. With initiation of antituberculous medication with steroids, the patient markedly improved, and the medication for tuberculosis was continued for a year with good response. Conclusion Primary tuberculous pachymeningitis should be suspected in a patient complaining of prolonged headache with focal neurological signs when MRI evidence of dural thickening is detected, and another focus of tuberculosis was not found. Prompt suspicion with image-guided dural biopsy for histology would help to confirm the diagnosis.

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“…[ 20 ] Tuberculomas that affect the brain tissue occur more often than those that involve the dura or skull bone. [ 4 , 5 , 16 , 17 ] Most of these patients are immunocompromised. [ 20 ] Intracranial tuberculomas frequently occur as a result of tuberculous infection originating elsewhere in the body through hematogenous spread; the lung is the most common site of origin.…”

Section: Introductionmentioning

confidence: 99%

Tuberculoma mimicking en-plaque meningioma in a 45-year-old male: A case report

Atteiah,

Abbas,

Al-Sinani

2024

Surgical Neurology International

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Background: Tuberculoma mimicking en-plaque meningioma is a rare variant of tuberculoma. A few cases were reported in the literature. The radiological appearance can be mistakenly diagnosed as en-plaque meningioma. Case Description: We report a rare case of a 45-year-old male with tuberculoma mimicking en-plaque meningioma who underwent surgical excision followed by anti-tuberculosis (TB) medications. Follow-up brain imaging after three months showed a favorable outcome. Conclusion: Tuberculoma mimicking en-plaque meningioma should be considered in the differential diagnosis where TB is endemic.

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Cranial epidural tuberculoma: A case report

Cited by 10 publications

References 0 publications

Tuberculoma of the Cervical Spinal Canal Mimicking En Plaque Meningioma

Tuberculoma of the Cervical Spinal Canal Mimicking En Plaque Meningioma

Tuberculous Pachymeningitis Presenting as a Diffused Dural Thickening in a Patient with Chronic Headache and Recurrent Neurological Abnormalities for More than a Decade: A Case Report and a Review of the Literature

Tuberculoma mimicking en-plaque meningioma in a 45-year-old male: A case report

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