[Tuberculous abscess of the cerebellum].
Cerebral tuberculous abscess is exceptional. We report on the case of a H.I.V. positive 29 year-old man suffering from high intracranial pressure together with a cerebellar syndrome. The CT scan revealed a voluminous abscess of the left cerebellar hemisphere. Anatomical and pathological examination of the extracted mass showed a tuberculous abscess. 16 months after surgery and antituberculous treatment, the patient's symptoms have disappeared and he has resumed his professional activities. Though controversial, a pathogenic continuum between a tuberculoma and a tuberculous abscess may be assumed to exist. The A.I.D.S. pandemic reactivates the tuberculous foci, increases the risks of contagion reduced the effectiveness of treatment, and justifies a systematic search for the bacillus of Koch, after puncture, in any cerebral abscess.
Dechambenoit
G
G
Service de Neurochirurgie, CHU Yopougon, Abidjan, Côte d'Ivoire.
Boni
N G
NG
Santini
J J
JJ
Ba Zeze
V
V
Beaumel
A
A
Kakou
M
M
D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging; D000328:Adult; D002526:Cerebellar Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005500:Follow-Up Studies; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D011559:Pseudotumor Cerebri / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000000981:diagnostic imaging / Q000209:etiology*; D014376:Tuberculosis / Q000150:complications* / Q000175:diagnosis
Abcès tuberculeux du cervelet.