Cerebellar tuberculoma presenting as haematoma--a case report and pathophysiological consideration.
Intracranial tuberculoma represents the most common mass lesion in neurotuberculosis. We report an unusual case of tuberculoma with haemorrhage presenting clinically as a cerebellar haemorrhage. Cranial CT scan revealed a peripherally enhancing cerebellar mass with haemorrhage and obstructive hydrocephalus, requiring urgent surgical evacuation of the haematoma. Histopathological examination revealed tuberculoma with features of phlebitis. In view of the pathological evidence of phlebitis in the lesion, it could represent an immune-mediated acute haemorrhagic leucoencephalitis in response to tubercular antigens.
Ranjan
Manish
M
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Saritha
Aryan
A
Mahadevan
A
A
Shankar
S K
SK
Sampath
S
S
D002526:Cerebellar Diseases / Q000209:etiology; D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D006406:Hematoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016862:Tuberculoma, Intracranial / Q000150:complications* / Q000473:pathology / Q000601:surgery