A Case of Adult Brain Stem Tuberculoma:MR Imaging: Case Report.
- Author:
Hoon CHUNG
1
;
Sang Geun KIM
;
Myung Sup KIM
;
Ki Hwan CHOI
;
Hyung Tae YEO
;
Jung Kil RHEE
Author Information
1. Department of Neurosurgery, Taegu Catholic University Hospital, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Tuberculoma;
Brain stem;
Hydrocephalus;
Surgical excision;
CT;
MR imaging;
Nonsurgical diagnosis
- MeSH:
Abscess;
Adult*;
Brain Stem*;
Brain*;
Cerebral Aqueduct;
Diagnosis;
Drug Therapy;
Glioma;
Humans;
Hydrocephalus;
Magnetic Resonance Imaging;
Male;
Neoplasm Metastasis;
Neurologic Manifestations;
Tuberculoma
- From:Journal of Korean Neurosurgical Society
1993;22(2):309-314
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 39 years old healthy male patient with intracranial brain stem tuberculoma manifested hydrocephalic symptoms due to obstruction of aqueduct of sylvius is presented. Surgical excision was undertaken for obtaining histologic diagnosis and resolving hydrocephalus, which made postoperative neurologic deficits. CT and Magnetic resonance(MR) imaging of intracranial tubercuroma were studied for approaching nonsurgical diagnosis of tuberculoma. MR imaging of tuberculoma shows low intensity on T2-weighted imaging with Magnevistring enhancement. The MR imaging feature of the tuberculoma were found to be distinct from those abscess, metastasis and glioma. Antituberculous chemotherapy is thought to be better than surgical approach in managing brain stem tuberculoma if radiologic diagnosis was obtained.
