Cerebellar tuberculoma

Case contributed by Dr Praveen Jha

Presentation

Occipital headache. No neurological deficits on examination.

Patient Data

Age: 25
Gender: Female
CT

An iso-to-hyperdense lesion appears to be in central cerebellum, with marked surrounding white matter edema.

MRI

A well defined ring enhancing lesion is seen with central cystic area in ther cerebellar vermis region.

Case Discussion

 In view of solitary cystic lesion in midline of cerebellum, possibility of tuberculoma versus cystic glioma was considered. As lesion doesn't show any solid enhancing nodule, possibility of hemangioblastoma was less likely.

Spectroscopy through the region of interest (not included) was inconclusive and showed a contaminated spectrum.

Patient was operated, and histopathology revealed tuberculoma as final diagnosis.

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Case information

rID: 26540
Case created: 27th Dec 2013
Last edited: 9th Mar 2016
Inclusion in quiz mode: Included

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