Les tuberculomes intramédullaires

Ibahioin, K.; Malki, Manar; Chellaoui, A.; Bertal, A.; Hilmani, S.; Lakhdar, Abdelhakim; Naja, A.; Sami, A.; Achouri, M.; Ouboukhlik, A.; Kamar, A. El; Azhari, A. El

doi:10.1016/s0028-3770(04)98334-8

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…They are usually supratentorial in adults and infratentorial in children. 14 , 15 Owing to its location, symptoms, signs, and radiological imaging, several other diseases that can produce a similar picture are malignancies like glioma or lymphoma, pyogenic abscess, toxoplasmosis, neurocysticercosis, sarcoidosis, and hydatidosis. 16 , 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

Posterior fossa tuberculosis: Unusual presentations of a common disease and literature review

Kujur,

Chandra Sugatha Rao,

Rajagopalawarrier

2024

World Neurosurgery: X

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Section: Discussionmentioning

confidence: 99%

Posterior fossa tuberculosis: Unusual presentations of a common disease and literature review

Kujur,

Chandra Sugatha Rao,

Rajagopalawarrier

2024

World Neurosurgery: X

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“…Tuberculomas are most often supratentoriel in children, the most common site is the cerebral hemispheres. One of the patients had a subtentoriel localization [3, 4]. The symptomatology is not specific depending on the localization, the size and the number of lesions.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and management of intracranial tuberculomas: about 2 cases and a review of the literature

Zahrou¹,

Elallouchi²,

Ghannane³

et al. 2019

Pan Afr Med J

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Central nervous system tuberculosis is a major cause of morbidity and mortality in developing countries. Intracranial tuberculoma is rare and is one of the most severe cases of tuberculosis. We present two cases. The first one is about a girl of 7 years, followed for 5 months for lymph nodes tuberculosis on anti-TB treatment that presents generalized tonic-clonic seizures associated with progressive intracranial hypertension syndrome. Brain MRI has objectified necrotic nodules in left hemisphere. The surgical approach of the lesions was direct with complete excision. The diagnosis of tuberculoma was confirmed by anatomopathological examination. The second case is about a 6-year-old girl with no particular medical history, which presents for three months progressive and treatment-resistant cervico-occipital headaches associated with walking difficulties. The MRI objectified left cerebellar tumor process interpreted preoperatively as medulloblastoma. The patient was operated on intraoperative, appearance was that of a nodular lesion. Anatomopathological examination confirmed the diagnosis. The intracranial tuberculoma is an unusual variety of the central nervous system tuberculosis and remains a topical issue in Morocco. The prognosis depends on prompt diagnosis, quality of surgical resection and anti-TB treatment. The diagnostic confirmation is histological and should therefore be evoked infront of any intracranial process mimicking a brain tumor.

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“…Lors de la dernière décennie, peu de cas ont été décrits (Muthukumar et al, 2006 ;Li et al, 2006 ;Torii et al, 2004 ;Ibahioin et al, 2004 ;Chagla et al, 2007 ;Skoglund et Nilsson, 2006 ;Lin et al, 2006). Les cas décrits étaient pour la plupart dans des pays émergents où la prévalence de la maladie tuberculeuse est beaucoup plus forte que dans les pays dits industrialisés.…”

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Tuberculose intramédullaire. À propos d’un cas

et al. 2008

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Neurological symptoms of tuberculosis are rare, even if there this pathology has been on the rise for a number of years because of HIV. Intramedullary tuberculoma is an exceptional location. We report the case of a patient with no HIV or immunodepression symptoms with intramedullary tuberculoma, revealed by a clinical presentation of insidious onset of myelopathy. We will discuss the diagnosis, treatment and clinical functional follow-up. The optimal treatment seems to be a combination of microsurgical resection and antibiotic therapy. © 2008 Elsevier Masson SAS. Tous droits réservés. RésuméLes manifestations neurologiques de la tuberculose restent rares, même si ces dernières années ont été marquées par une augmentation de ces pathologies, du fait, notamment, de la pandémie du VIH. Le tuberculome intramédullaire reste une localisation exceptionnelle. Nous rapportons ici le cas d'un patient adulte non séropositif pour le virus VIH et non immunodéprimé présentant un tuberculome intramédullaire, découvert devant un tableau de compression médullaire lente. Nous discuterons le diagnostic radiologique, la nécessité ou non d'un traitement chirurgical, ainsi que les suites cliniques et, notamment, fonctionnelles. Notre expérience nous porte à croire que l'approche combinée de la chirurgie et de l'antibiothérapie paraît être la meilleure alternative.

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Les tuberculomes intramédullaires

Cited by 10 publications

References 8 publications

Posterior fossa tuberculosis: Unusual presentations of a common disease and literature review

Posterior fossa tuberculosis: Unusual presentations of a common disease and literature review

Diagnosis and management of intracranial tuberculomas: about 2 cases and a review of the literature

Tuberculose intramédullaire. À propos d’un cas

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