title: [A Surgical Case of Tuberculoma with Visual Disturbance].
abstract: We herein report a surgical case of multiple cerebral calculi located within the chiasmatic cistern resulting in visual disturbance. A 61-year-old man experienced homonymous lower right quadrantanopsia a few years prior. Non-enhanced head CT revealed multiple calcified lesions of about 7-mm within the basal cistern. MRI showed the lesion compressing the left optic tract. We could not remove the entire lesion because of severe adhesion to the optic tract. A pathological test showed calcified lesions with lymphocyte infiltration. We diagnosed tuberculoma caused by tuberculous meningitis with degeneration of the calcified lesion because of a history of tuberculosis at a fetal age. After the surgery, the patient was discharged without improvement of the visual disturbance.
authors: Department of Neurosurgery, National Defense Medical College.
authors: Takashi
authors: T
authors: Fujii
authors: Naoki
authors: N
authors: Otani
authors: Yohei
authors: Y
authors: Otsuka
authors: Takashi
authors: T
authors: Matsumoto
authors: Shunsuke
authors: S
authors: Tanoue
authors: Hideaki
authors: H
authors: Ueno
authors: Satoshi
authors: S
authors: Tomura
authors: Arata
authors: A
authors: Tomiyama
authors: Terushige
authors: T
authors: Toyooka
authors: Kojiro
authors: K
authors: Wada
authors: Kentaro
authors: K
authors: Mori
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D014057:Tomography, X-Ray Computed; D014375:Tuberculoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014786:Vision Disorders / Q000209:etiology*