Nota Clínica

Multiple cerebral tuberculomas

L. Noriega, F. Villarreal [REV NEUROL 2003;37:531-535] PMID: 14533071 DOI: https://doi.org/10.33588/rn.3706.2003085

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Volumen 37 | Number 06 | Nº of views of the article 7.626 | Nº of PDF downloads 1.407 | Article publication date 16/09/2003

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ABSTRACT

INTRODUCTION The tuberculosis is a disease that continues being important cause of morbidity and mortality at world-wide level. Its presentation as tuberculomas cerebral manifold at level of the central nervous system is little frequent in immunocompetent patients and can be confused with other etiology.

CASE REPORT An indigenous young man, immunocompetent consulted for history of headache, nausea, vomits, convulsions, double vision and hemiparesia left side, which in the cerebral tomography of revenue was showing injuries compatible with cerebral abscesses; for which he received treatment with antibiotics without improvement for what there takes biopsy of the injuries that reported tuberculomas, specific treatment being initiated later and the primary area being investigated without the same one be detecting. After the first procedural step with evident clinical and radiographic improvement.

CONCLUSIONS The tuberculosis in anyone of their forms of presentation must be included within the diagnosis differential of the patients in our endemic countries for this disease. The clinical and radiological diagnosis of cerebral injuries is difficult and single usually it obtains to the diagnosis during a pathology study that shows tuberculomas with caseosa necrosis, epiteliodes cell and the acid alcohol bacilli resistant. KeywordsCerebral tuberculomas Immunocompetent

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Nota Clínica

Multiple cerebral tuberculomas