Cranial epidural tuberculoma. A case report.
A 33-year-old patient with cranial epidural tuberculoma without history of tuberculosis is described. CT and MR imaging showed a lesion located on both sides of a right frontotemporal bone destruction with epidural extent. Except for a small necrotic core, the lesion enhanced intensely after contrast medium administration. Osteitis and subgaleal abscess were associated. The displaced dura mater delineated the epidural tuberculoma. Diagnosis was verified by histology and identification of Mycobacterium tuberculosis. After removal of the tuberculoma and combination therapy, there was a complete regression of abnormalities. Differential diagnoses are dural tuberculoma, focal tuberculous pachymeningitis and tuberculous epidural empyema.
Department of Neuroradiology and Therapeutic Angiography, Hôpital Lariboisière, Paris, France.
C
C
Jacques
M
M
Boukobza
M
M
Polivka
A
A
Ferrario
B
B
George
J J
JJ
Merland
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012886:Skull / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000000981:diagnostic imaging