Intracranial tuberculomas

Case contributed by Utkarsh Kabra , 15 Mar 2017
Diagnosis almost certain
Changed by Henry Knipe, 21 Mar 2017

Updates to Case Attributes

Body was changed:

The imaging features, particularly in an endemic area, are almost certainly those of tuberculomas, particularly in view of the T2 hypointense centres.  The differential diagnosis includes neurocysticercosis, however, points that favour the diagnosis of tuberculoma are:

    • no obvious scolex is seen in any of the lesions
    • T2 hypointense core
    • leptomeningeal enhancement
    • presence of conglomerate lesions
    • lipid-lactate peak on MRS
  • -<p>The imaging features, particularly in an endemic area, are almost certainly those of tuberculomas, particularly in view of the T2 hypointense centres.  The differential diagnosis includes neurocysticercosis, however, points that favour the diagnosis of <a title="Tuberculoma" href="/articles/tuberculoma">tuberculoma</a> are:</p><ol>
  • +<p>The imaging features, particularly in an endemic area, are almost certainly those of tuberculomas, particularly in view of the T2 hypointense centres.  The differential diagnosis includes neurocysticercosis, however, points that favour the diagnosis of <a href="/articles/tuberculoma">tuberculoma</a> are:</p><ul>
  • -</ol><p> </p>
  • +</ul>

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