Tubercular temporalis abscess with skull and dural invasion.
BACKGROUND
Mycobacterium tuberculosis infection rarely penetrates both skull and dura with temporalis muscle abscess formation.


METHODS
Case report and review of the literature.


RESULTS
A non-immunocompromised female patient with a right temporal mass underwent surgical resection. The tubercular abscess extended from the temporalis muscle to the skull and through the dura and subdural space with dissemination of the granuloma over the arachnoid membrane.


CONCLUSIONS
Adequate debridement with a full course of antituberculous medication is necessary for complete treatment of these lesions.
Department of Neurosurgery, Chang Gung Memorial Hospital , Taipei, Taiwan .
Jiun-Lin
JL
Yan
Kuo-Chen
KC
Wei
D000038:Abscess / Q000188:drug therapy / Q000601:surgery*; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D004388:Dura Mater; D005260:Female; D020773:Headache Disorders / Q000382:microbiology; D006801:Humans; D009169:Mycobacterium tuberculosis; D013346:Subarachnoid Space; D013703:Temporal Muscle; D014390:Tuberculosis, Meningeal / Q000188:drug therapy / Q000601:surgery*; D014394:Tuberculosis, Osteoarticular / Q000188:drug therapy / Q000601:surgery*
D000995:Antitubercular Agents