Neurol. praxi. 2013;14(4):203-205
Tuberculoma of the brain
- Neurologické oddělení Ústřední vojenské nemocnice &ndash, Vojenské fakultní nemocnice Praha
Tuberculoma of the brain is among rare causes of intracranial expansions in the Czech Republic. More frequently, there is multifocal
brain disease as part of the postprimary form of tuberculosis. A definitive diagnosis can be made based on histopathological and/or
bacteriological examination; a probable diagnosis can be made based on improvement in the clinical condition and focal regression after
commencing causal therapy with antituberculosis drugs. Following treatment initiation, the prognosis is relatively favorable; the mortality
rate is reported to be only 10%. The author presents a case of a 56-year-old female patient with a histologically proved tuberculoma
of the brain and recommends to always perform brain biopsy even in older patients who present with isolated or multiple "metastatic"
brain disease and with a negative finding of primary extracerebral tumor on comprehensive oncological evaluation.
Keywords: tuberculoma, biopsy, magnetic resonance imaging, expansion
Published: October 1, 2013 Show citation
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