title: Cerebral tuberculoma mimicking high grade glial tumor.
abstract: Tuberculosis has been an important public health problem in both developing and develop nations. Tuberculosis of the central nervous system is rare. Tuberculosis meningitis and tuberculoma are the two most important manifestations of tuberculosis of the CNS. Intracranial tuberculomas may be solitary or multiple. Solitary tuberculomas may be indistinguishable from cranial abscess or primary brain tumor. It is necessary to rule out tuberculoma in patients with intracranial mass lesions. We present a case of tuberculoma mimicking a high grade glial tumor on magnetic resonance imaging and clinical presentation. A 30-year-old woman presented with one-month history of epilepsy. Cranial magnetic resonance imaging showed a left occipital peripheral ring-enhanced lesion with central necrosis. There was a strong suspicion of glial tumor. The lesion was totally excised with left occipital craniotomy. Histological examination of mass revealed a tuberculoma. The patient was treated with antituberculous chemotherapy.
authors.affiliation: M.H. Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Neurosurgery, Istanbul, Turkey. hikmets1972@yahoo.com
authors.forename: Hikmet Turan
authors.initials: HT
authors.lastname: Suslu
authors.forename: Mustafa
authors.initials: M
authors.lastname: Bozbuga
authors.forename: Cicek
authors.initials: C
authors.lastname: Bayindir
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001923:Brain Chemistry / Q000502:physiology; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology; D003399:Craniotomy; D003937:Diagnosis, Differential; D004827:Epilepsy / Q000150:complications; D005260:Female; D005910:Glioma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D009682:Magnetic Resonance Spectroscopy; D019635:Neurosurgical Procedures; D009778:Occipital Lobe / Q000601:surgery; D016896:Treatment Outcome; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000995:Antitubercular Agents