Isolated brainstem tuberculomas

Sadashiva, Nishanth; Tiwari, Sarbesh; Shukla, Dhaval; Bhat, Dhananjaya I; Saini, Jitender; Somanna, Sampath; Devi, Bhagavatula Indira

doi:10.1007/s00701-017-3108-1

Cited by 15 publications

(8 citation statements)

References 39 publications

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“…In this cases, two tuberculomas were evident in the pons and the left frontal lobe. These findings are similar to Garg RK et al (2016) and Sadashiva N et al (2017), who reported that most of the cerebral tuberculomas are present in the frontal lobe and the pons respectively 4,8…”

Section: Discussionsupporting

confidence: 89%

Tuberculous Meningitis, Vasculitis, andPericarditis presented by deep coma

Alshoabi

2018

Pak J Med Sci

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A 32 years old male patient presented to the emergency room with complete loss of consciousness since three hours. This was after two weeks of night fever, sweating and considerable loss of weight with self-treatment by antipyretic drugs. In the last two days, the patient develops confusion and altered behavior. Clinical examination revealed high-grade fever and coma. CXR revealed mild cardiomegaly. Treatment started with intravenous fluids, antipyretics, and antibiotics. On the next day, Echocardiography revealed mild Mitral regurgitation (MR), mild pericardial effusion with thickening of the pericardial membrane that suggested pericarditis. ESR was significantly elevated (57 mm/hour). After three days of treatment without improvement, Tuberculosis (TB) proposed and laboratory investigations implemented. Brain MRI T1 weighted images with Gadolinium injection revealed basal meningeal enhancement with multiple tiny cerebral granulomas.FLAIR-weighted images revealed multiple small high signal intensity foci in bilateral temporal lobes and the basal ganglia strongly suggesting vasculitis and ischemic lesions. CSF sample and culture was done, and anti-tuberculous drugs started with IV fluids, corticosteroids, and other supportive drugs. The results of CSF culture confirmed the diagnosis of Tuberculous meningitis. After two months of continuous anti-tuberculous treatment, the patient seemed to regain consciousness. The patient continued Rifampicin tab 700 mg, Isoniazid tab 350 mg, Ethambutol tab 400 mg, Pyridoxine tab 80 mg, Aspirin tab 100 mg and other supportive drugs for six months. The patient regained full health without any mental or motor disabilities.

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Section: Discussionsupporting

confidence: 89%

Tuberculous Meningitis, Vasculitis, andPericarditis presented by deep coma

Alshoabi

2018

Pak J Med Sci

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“…Günümüzde HIV infeksiyonu sıklığında artışla birlikte tüberküloz ınsidansında da arttış görülmektedir [1] .İntrakraniyal tüberkülomlar, tüberküloz menenjitle birlikte veya tüberküloz menenjit olmaksızın görülebilir [2].…”

Section: Introductionunclassified

An intracranial tuberculoma case interfere with brain tumor

Karaca¹,

Cesur

Hatipoğlu

et al. 2019

Turkish Journal of Clinics and Laboratory

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İntrakraniyal tüberkülom, tüberküloza bağlı santral sinir sistemi infeksiyonunun önemli komplikasyonlarından birisidir. İntrakraniyal tüberkülomlar görüntüleme yöntemlerinde beyin tümörleri ile karışabilir. Tanıda etkenin kültürden izolasyonu ve histopatolojik inceleme kullanılabilir. Tedavide cerrahi girişim ve antitüberküloz tedavi uygulanır. Bu yazıda, Cibuti, Afrika'dan gelen ve intrakraniyal kitle nedeni ile opere edilen ancak biyopsi materyalinin histopatolojik incelemesi sonucunda tüberkülom olduğu saptanan 34 yaşında bir kadın hasta sunuldu.

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“…Dear Editor, The recent publication on brainstem tuberculomas [1] is very interesting. Sadashiva et al [1] noted that BIntracranial tuberculoma may present with or without meningitis^and BAntitubercular therapy has a very good prognosis, though the duration of therapy required may be longer.Ŵ e would like to share ideas and experiences on this issue.…”

mentioning

confidence: 99%

“…Sadashiva et al [1] noted that BIntracranial tuberculoma may present with or without meningitis^and BAntitubercular therapy has a very good prognosis, though the duration of therapy required may be longer.Ŵ e would like to share ideas and experiences on this issue. In tropical countries, the intracranial tuberculoma is not uncommon and the diagnosis is difficult.…”

mentioning

confidence: 99%