Cerebral tuberculoma presenting as flexion spasms.
A 10-month-old girl was admitted with refractory infantile spasms. Video EEG demonstrated focal epileptic activity, and MRI revealed a conglomeration of annular lesions. Surgical excision was performed and pathology was consistent with tuberculoma. After antituberculous therapy, the outcome was favorable. Despite all investigations, Mycobacterium tuberculosis's mode of transmission was unclear, and both congenital and postnatal acquired forms were considered.
Martins
Cristina L
CL
Neuropediatric Unit, Pediatric Department, Hospital Garcia de Orta, Almada, Portugal. cristins@netcabo.pt
Monteiro
José Paulo
JP
Sarafana
Sofia
S
Caldas
Gabriela
G
Oliveira
Pedro
P
Breia
Paula
P
Rodeia
Paula
P
Fonseca
Maria José
MJ
D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D013036:Spasms, Infantile / Q000150:complications / Q000175:diagnosis*; D016862:Tuberculoma, Intracranial / Q000150:complications / Q000175:diagnosis*