Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report
Abstract Background CNS TB roughly correlates to 1–10% of all intracranial tumors. The spectrum of CNS-TB is wide and can present as tuberculous meningitis, tubercular abscess, tuberculoma, or hypertrophic pachymeningitis. Tuberculomas are usually located at the corticomedullary junction and periven...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-08-01
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| Series: | Egyptian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41984-023-00216-x |
| _version_ | 1797699504311369728 |
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| author | Shashin N. Vyas Jitender Shekhawat |
| author_facet | Shashin N. Vyas Jitender Shekhawat |
| author_sort | Shashin N. Vyas |
| collection | DOAJ |
| description | Abstract Background CNS TB roughly correlates to 1–10% of all intracranial tumors. The spectrum of CNS-TB is wide and can present as tuberculous meningitis, tubercular abscess, tuberculoma, or hypertrophic pachymeningitis. Tuberculomas are usually located at the corticomedullary junction and periventricular region, as expected for hematogenous dissemination. They are mostly infratentorial in children and supratentorial in adults. They may present months to years after infection. Observations Here we have a 55-year-old female who presented with a history of headaches, sudden loss of consciousness, and seizures. Initial imaging showed a right parietal mass lesion appearing to be malignant on initial imaging which had a significant mass effect and midline shift. The patient was operated on for the same and histopathology showed chronic granulomatous lesion and tissue staining s/o tuberculosis. Lessons So a diagnostic option for infective etiology should be kept even for an intracranial supratentorial mass lesion. |
| first_indexed | 2024-03-12T04:08:51Z |
| format | Article |
| id | doaj.art-59fdd0086672405da1d8b13b9e70a39b |
| institution | Directory Open Access Journal |
| issn | 2520-8225 |
| language | English |
| last_indexed | 2024-03-12T04:08:51Z |
| publishDate | 2023-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj.art-59fdd0086672405da1d8b13b9e70a39b2023-09-03T11:08:53ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252023-08-013811310.1186/s41984-023-00216-xLarge intracranial supratentorial tuberculoma imitating as a malignant lesion: a case reportShashin N. Vyas0Jitender Shekhawat1Department of Neurosurgery, SMS HospitalDepartment of Neurosurgery, SMS HospitalAbstract Background CNS TB roughly correlates to 1–10% of all intracranial tumors. The spectrum of CNS-TB is wide and can present as tuberculous meningitis, tubercular abscess, tuberculoma, or hypertrophic pachymeningitis. Tuberculomas are usually located at the corticomedullary junction and periventricular region, as expected for hematogenous dissemination. They are mostly infratentorial in children and supratentorial in adults. They may present months to years after infection. Observations Here we have a 55-year-old female who presented with a history of headaches, sudden loss of consciousness, and seizures. Initial imaging showed a right parietal mass lesion appearing to be malignant on initial imaging which had a significant mass effect and midline shift. The patient was operated on for the same and histopathology showed chronic granulomatous lesion and tissue staining s/o tuberculosis. Lessons So a diagnostic option for infective etiology should be kept even for an intracranial supratentorial mass lesion.https://doi.org/10.1186/s41984-023-00216-xIntracranialTuberculomaMalignantSupratentorialCase reports |
| spellingShingle | Shashin N. Vyas Jitender Shekhawat Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report Egyptian Journal of Neurosurgery Intracranial Tuberculoma Malignant Supratentorial Case reports |
| title | Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report |
| title_full | Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report |
| title_fullStr | Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report |
| title_full_unstemmed | Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report |
| title_short | Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report |
| title_sort | large intracranial supratentorial tuberculoma imitating as a malignant lesion a case report |
| topic | Intracranial Tuberculoma Malignant Supratentorial Case reports |
| url | https://doi.org/10.1186/s41984-023-00216-x |
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