Cerebral tuberculoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Disturbed conscious level, headache and blurring of vision.

Patient Data

Age: 10-year-old
Gender: Male

MRI Brain

Modality: MRI

Right occipital space occupying lesion which presents iso signal on T1, hypointense signal on T2/FLAIR with marginal enhancement and surrounded by moderate perifocal edema.

It exerts positive mass effect upon the occipital horn of right lateral ventricle.

MRS reveals high lipid and lactate levels within the lesion. There is mild NAA reduction and mild Choline rise not consistent with tumorous activity.

Case Discussion

The provisional diagnosis was cerebral tuberculoma which was confirmed by lab investigation and hence the patient improved after anti tuberculous treatment.

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Case Information

rID: 41152
Case created: 17th Nov 2015
Last edited: 17th Aug 2016
Inclusion in quiz mode: Included

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