TB Research

Cerebral Tuberculoma of Right Frontal Lobe in an Unconscious Patient

Yam Bahadur Roka, Narayani Roka

Journal of Nepal Health Research Council · 2020-04

Abstract

Cerebral tuberculoma of the brain are uncommon presentation of tuberculosis (1%). A 17-year female presented to the emergency with a Glasgow Coma Score of (eye-1, verbal-1 and motor-3), 5/15 bilateral fixed pupils with laborious breathing. The radiological features were suggestive of aintracerebral abscess/ glioma. Intraoperatively the brain was very tense and a large, vascular, mass was present that was excised completely. Her histopathology revealed features of tuberculoma and she was started on anti-tubercular treatment. She is discharged home with regular follow-up for the last 10 months.Cerebral tuberculoma although uncommon should be thought of in developing countries as differential of cystic enhancing lesions of the brain. Keywords: Abscess; central nervous system; glioma; tuberculoma; tuberculosis.

MeSH terms

  • Tuberculoma
  • Medicine
  • Abscess
  • Tuberculosis
  • Differential diagnosis
  • Brain abscess
  • Glasgow Coma Scale
  • Coma (optics)
  • Presentation (obstetrics)
  • Surgery
  • Radiology