Test Your Diagnostic Skill

We report a 4-year-old girl in whom a probable intracranial tuberculoma was diagnosed by carotid angiography. The child's clinical picture improved and the tuberculoma certainly considerably reduced in size as shown by a follow-up angiogram 20 months after institution of antituberculous treatment. Our case adds one to those in whom medical treatment was a success. Surgery should be reserved for medical failures and where diagnosis is uncertain.

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Intracranial tuberculoma in a Sudanese child: response to medical treatment

Elshibly

Ellidir

1986

Annals of Tropical Paediatrics

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Tuberculoma mimicking a pinealoma

Whittle¹,

Allsop²,

Besser³

1983

Journal of Neurosurgery

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Computerized tomography (CT) revealed obstructive hydrocephalus and a pineal mass in a 14-year-old girl who presented with headaches and a Parinaud's syndrome. Although there was no major evidence of extracranial tuberculosis, and cerebrospinal fluid obtained during third ventriculostomy contained no leukocytes, suboccipital transtentorial biopsy of the lesion revealed it to be a tuberculoma. Serial CT scans showed resolution of the lesion following subtotal resection and antituberculous therapy. The implications of this case with regard to difficulties in the diagnosis of cerebral tuberculoma and the management of pineal region tumors are discussed.

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Test Your Diagnostic Skill

Cited by 2 publications

References 8 publications

Intracranial tuberculoma in a Sudanese child: response to medical treatment

Intracranial tuberculoma in a Sudanese child: response to medical treatment

Tuberculoma mimicking a pinealoma

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