Intracranial tuberculous abscess

Case contributed by Dr Michael P Hartung

Presentation

Headache.

Patient Data

Age: 15 years
Gender: Male

Very large right posterior parietal/occipital rim-enhancing mass. Small peripherally enhancing mass in the posterior temporal lobe. Extensive white matter edema. Mass effect and leftward midline shift. 

Case Discussion

This was surgically drained and proven to be a very large intracranial tuberculous abscess from an endemic area (rural Kenya). The large size and extensive vasogenic edema help differentiate it from a tuberculoma.

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Case information

rID: 80686
Published: 7th Aug 2020
Last edited: 5th May 2021
Inclusion in quiz mode: Included
Institution: Tenwek Hospital

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