Medulla oblongata tuberculoma mimicking metastasis presenting with stroke-like symptoms.
Tuberculomas are common forms of central nervous system tuberculosis, presenting as space-occupying-lesions. Brainstem tuberculomas are rare among all intracranial tuberculomas. In old patients, in the absence of tuberculosis history, diagnosis may be challenging. In this case, we present a 70-year-old patient, with bladder cancer, without known tuberculosis who presented with stroke-like symptoms, clinically. Diffusion-weighted imaging revealed no finding of stroke, however, a medulla oblongata tuberculoma, mimicking metastasis was evident on MRI.
Donmez
Fuldem Yildirim
FY
Department of Radiology, Baskent University Faculty of Medicine, 46. Sokak No: 11/8, Bahcelievler, Ankara, Turkey. fuldemyildirim@yahoo.com
Coskun
Mehmet
M
Guven
Gulnur
G
D000368:Aged; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000473:pathology*; D009362:Neoplasm Metastasis / Q000175:diagnosis; D009460:Neurologic Examination; D020521:Stroke / Q000473:pathology*; D016862:Tuberculoma, Intracranial / Q000150:complications / Q000473:pathology*