Presentation
Seizures
Patient Data
Age: 30 years
Gender: Male
From the case:
Tuberculoma
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Limited sequences through the brain show a relatively T2 hypointense lesion in left temporal lobe centered on the grey-white matter junction with surrounding perilesional edema. Spectroscopy through the left temporal lobe lesion shows raised lipid and lactate peaks.
From the case:
Tuberculoma
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Complimentary HRCT of the chest shows multiple nodular opacities in left upper and lower lobes with multiple fibrotic / atelectatic bands. Pleural thickening / mild pleural effusion is seen. Few small mediastinal and hilar lymph nodes are seen with calcification in left hilar node – findings suggest likelihood of infective etiology, possibly tuberculosis.
Case Discussion
Overall above findings suggest likelihood of tuberculoma in left temporal lobe.
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