[Tuberculoma mimicking the tumor of ponto-cerebellum angle as complication after postvaccinated tuberculous otitis media].
BACKGROUND
Tuberculosis is a major problem of constant importance all over the world. Notably, in the developed countries it is due to immunosuppressive therapy and AIDS. Primary otological tuberculosis constitutes a very small share of cases of this disease. Moreover, the appearance of tuberculomas remains unique to even greater extent.


METHODS
Clinical history of a patient who has already been infected tuberculosis for 60 years in result of the BCG vaccination. Ponto-cerebellum angle tumour appeared in his brain as complication ensuing the disease. The first therapeutic method used was based on antituberculous drugs, subsequent surgical intervention (cerebello-pontine angle tumor removal via translabirynthin approche) was necessary however. We suspected another cause of this lesion - cholesteatoma or facial nerve neurinoma. Correct diagnosis give only histopatological examination. Because of facial nerve palsy, facial nerve reconstruction was necessary (connection of n. VII and n.
This case reminds us that correct diagnosis of tuberculosis remains a serious problem despite the long experience and the development of diagnostics and treatment methods. Nowadays we observe the unusual clinical manifestations of the disease (e.g. such as ear pain, tinnitus, rapid hearing loss) more frequently.
Katedra i Klinika Otolaryngologii Akademii Medycznej, SP CSK, Kierownik: prof. dr hab. n. med. K. Niemczyk, Warszawa, Poland.
Kazimierz
K
Niemczyk
Katedra i Klinika Otolaryngologii Akademii Medycznej, SP CSK, Kierownik: prof. dr hab. n. med. K. Niemczyk, Warszawa, Poland. Electronic address: basia.biskup@wp.pl.
Barbara
B
Jamróz
Katedra i Klinika Otolaryngologii Akademii Medycznej, SP CSK, Kierownik: prof. dr hab. n. med. K. Niemczyk, Warszawa, Poland.
Robert
R
Bartoszewicz
Katedra i Klinika Otolaryngologii Akademii Medycznej, SP CSK, Kierownik: prof. dr hab. n. med. K. Niemczyk, Warszawa, Poland.
Antoni
A
Bruzgielewicz
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002526:Cerebellar Diseases / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014375:Tuberculoma / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D014376:Tuberculosis / Q000150:complications* / Q000175:diagnosis
D000995:Antitubercular Agents
Tuberculous otitis media; Tumor of ponto-cerebellum angle; Vaccination; gruźlicze zapalenie ucha; guz kąta mostowo-móżdżkowego; szczepienie