Central nervous system tuberculoma mimicking a brain tumor: A case report
The central nervous system (CNS) is a rare but serious site of tuberculosis spread that manifests in three forms: meningitis, spinal arachnoiditis, and CNS tuberculoma. CNS tuberculoma, or intracranial tuberculous granuloma, is a caseating or non-caseating granulomatous reaction within the brain par...
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Format: | Article |
Language: | English |
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Elsevier
2024-01-01
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Series: | Radiology Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323007860 |
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author | Pierce McMahon, BS David J. Pisapia, MD Andrew D. Schweitzer, MD Linda Heier, MD Mark M. Souweidane, MD Michelle Roytman, MD |
author_facet | Pierce McMahon, BS David J. Pisapia, MD Andrew D. Schweitzer, MD Linda Heier, MD Mark M. Souweidane, MD Michelle Roytman, MD |
author_sort | Pierce McMahon, BS |
collection | DOAJ |
description | The central nervous system (CNS) is a rare but serious site of tuberculosis spread that manifests in three forms: meningitis, spinal arachnoiditis, and CNS tuberculoma. CNS tuberculoma, or intracranial tuberculous granuloma, is a caseating or non-caseating granulomatous reaction within the brain parenchyma that may mimic a brain tumor. We present the case of a 10-year-old male patient with a travel history to Western Africa who presented to our institution after his fourth tonic-clonic seizure over 2 months. MRI of the brain revealed a solitary cortical/subcortical enhancing intracranial mass with intralesional hemorrhage and mineralization, pathologically proven to represent a CNS tuberculoma. While rare, this etiology should be considered with the appropriate travel history and for which prompt treatment may improve outcomes in the pediatric population. |
first_indexed | 2024-03-09T15:41:25Z |
format | Article |
id | doaj.art-f46aaf9a71ad4b6eabd6d01fece3db62 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-03-09T15:41:25Z |
publishDate | 2024-01-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-f46aaf9a71ad4b6eabd6d01fece3db622023-11-25T04:47:35ZengElsevierRadiology Case Reports1930-04332024-01-01191414417Central nervous system tuberculoma mimicking a brain tumor: A case reportPierce McMahon, BS0David J. Pisapia, MD1Andrew D. Schweitzer, MD2Linda Heier, MD3Mark M. Souweidane, MD4Michelle Roytman, MD5Department of Radiology, NewYork-Presbyterian Hospital – Weill Cornell Medicine, 525 East 68th St, New York, NY, USA; Corresponding author.Department of Pathology and Laboratory Medicine, NewYork-Presbyterian Hospital - Weill Cornell Medicine, 525 East 68th St, New York, NY, USADepartment of Radiology, NewYork-Presbyterian Hospital – Weill Cornell Medicine, 525 East 68th St, New York, NY, USADepartment of Radiology, NewYork-Presbyterian Hospital – Weill Cornell Medicine, 525 East 68th St, New York, NY, USADepartment of Neurosurgery, NewYork-Presbyterian Hospital - Weill Cornell Medicine, 525 East 68th St, New York, NY, USADepartment of Radiology, NewYork-Presbyterian Hospital – Weill Cornell Medicine, 525 East 68th St, New York, NY, USAThe central nervous system (CNS) is a rare but serious site of tuberculosis spread that manifests in three forms: meningitis, spinal arachnoiditis, and CNS tuberculoma. CNS tuberculoma, or intracranial tuberculous granuloma, is a caseating or non-caseating granulomatous reaction within the brain parenchyma that may mimic a brain tumor. We present the case of a 10-year-old male patient with a travel history to Western Africa who presented to our institution after his fourth tonic-clonic seizure over 2 months. MRI of the brain revealed a solitary cortical/subcortical enhancing intracranial mass with intralesional hemorrhage and mineralization, pathologically proven to represent a CNS tuberculoma. While rare, this etiology should be considered with the appropriate travel history and for which prompt treatment may improve outcomes in the pediatric population.http://www.sciencedirect.com/science/article/pii/S1930043323007860Central Nervous System (CNS)TuberculomaTuberculosis |
spellingShingle | Pierce McMahon, BS David J. Pisapia, MD Andrew D. Schweitzer, MD Linda Heier, MD Mark M. Souweidane, MD Michelle Roytman, MD Central nervous system tuberculoma mimicking a brain tumor: A case report Radiology Case Reports Central Nervous System (CNS) Tuberculoma Tuberculosis |
title | Central nervous system tuberculoma mimicking a brain tumor: A case report |
title_full | Central nervous system tuberculoma mimicking a brain tumor: A case report |
title_fullStr | Central nervous system tuberculoma mimicking a brain tumor: A case report |
title_full_unstemmed | Central nervous system tuberculoma mimicking a brain tumor: A case report |
title_short | Central nervous system tuberculoma mimicking a brain tumor: A case report |
title_sort | central nervous system tuberculoma mimicking a brain tumor a case report |
topic | Central Nervous System (CNS) Tuberculoma Tuberculosis |
url | http://www.sciencedirect.com/science/article/pii/S1930043323007860 |
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