Tubercular focal cerebritis

Case contributed by Dr Praveen Jha

Presentation

history of fever since last 15 days, and headache since last 3 months.

Patient Data

Age: 75 years
Gender: Female
MRI

Multiple small discrete ring enhancing lesions are seen in brain parenchyma suggesting tuberculomas, with shaggy enhancement in basal cistern -possibly exudates.

A focal area of gyral swelling and enhancement, with marked leptomeningeal enhancement, and vasogenic edema is seen in right parietal lobe, suggesting focal tubercular cerebritis.

X-ray

Chest X-Ray showed nodular infiltrates in left apex, suggesting tubercular focus.

Case Discussion

This case show multiple manifestations of CNS tuberculosis, specifically tuberculomas and focal tubercular cerebritis.

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Case information

rID: 18326
Case created: 30th Jun 2012
Last edited: 24th Jan 2016
Inclusion in quiz mode: Included

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