Tuberculous brain infection located in an old cerebral infarct: CT changes with successful conservative therapy.
A case of tuberculous brain infection following tuberculous meningitis in a 67-year-old man is presented. It was located in an old cerebral infarct associated with left internal carotid artery occlusion. CT demonstrated capsule enhancement in the left temporal area after iodinated contrast medium. Chemotherapy with INH, RFP and SM diminished the lesion and the capsule disappeared thirteen months later. It is suggested that a relatively long clinical history together with the appearance of a thick-walled abscess-like lesion on the CT scan is consistent with the diagnosis of tuberculous brain infection, perhaps an abscess.
Department of Neurology, Kofu City Hospital, Japan.
S
S
Shintani
M
M
Kamaki
N
N
Motohashi
M
M
Hayashi
O
O
Toyoda
T
T
Wakao
D000368:Aged; D001922:Brain Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy; D002544:Cerebral Infarction / Q000000981:diagnostic imaging*; D006801:Humans; D007539:Isonicotinic Acids / Q000627:therapeutic use; D008297:Male; D012293:Rifampin / Q000627:therapeutic use; D013307:Streptomycin / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014390:Tuberculosis, Meningeal / Q000175:diagnosis
D007539:Isonicotinic Acids; D012293:Rifampin; D013307:Streptomycin