Trujillo-Ojeda H, Silva-Morales F, Acha-Herrer E, Ceballos-Arellano I, Ibarra-de la Torre A

Language: Spanish
References: 10
Page: 113-117
PDF size: 156.11 Kb.

ABSTRACT

In previous reports in this institution wass demonstrated that brain tuberculomas is curable with medical treat-ment. The diagnose can be made without evidence of extracranial tuberculosis. The following ones were clinics characteristic of tuberculoma: reinforcing of the tuber-culoma in TC, avascular injuries in the angiography, the signs and symptoms are minors who happend in relation to the size and its location, the patient lives in an endemic area or migrate of this. No exist findings of neuroimaging differentiates tuberculoma from another intracranial injury. Exists greate number of false positives for tuberculomas when they are diagnosed through Computerized Tomography. A report indicates that 80% of the diagnosed cases as tuberculoma by TC were false positives.
The brain tuberculoma is very rare and its location in the sinus cavernous is exceptional many factors make difficult the diagnose, sometimes is necessary a surgical procedure. We presente a case of a woman of 46 years of age with right ocular pain and diplopía, the examination reveal a syndrome of the cavernous sinus, the radiological investigation demonstrated an injury at level of the cavernous sinus considering the diagnose of meningioma, Sarcoidosis, metástases or tuberculoma but no of these was confirmed. The PCR study (chain reaction of the polymerase), in the cerebrospinal fluid was positive for Tuberculosis. Beginning the antifimic treatment a resolution of its symptoms was archived.

REFERENCES

1. Marguerite M, et al. Recent cases of intracranial tuberculoma. Neurology 1978; 3: 256-260, 1978.

2. Ramamurthi B, Varadarajan MG. Diagnosis of tuberculoma of the brain. J Neurosurgery 1986; 29: 149-59.

3. Boucetta M, Sami A, Choukri M, and Morsad F. Les tuberculomes encéphaliques: 40 cases Neurochirurgie 1993;39: 42-6.

4. Grayeli A, Redondo A, Salama J et al. Tuberculoma of the cavernous sinus: case report. Neurosurgery 1998;42: 179-82.

5. 5.- Van Dyk A. CT of intracranial tuberculomas with specific reference to the «target sign». Neuroradiology 30: 329-336, 1988.

6. Bouchama A, al-Kawi MZ, Kanaan I y cols. Brain Biopsy in tuberculoma: The risks and benefits. Neurosurgery 1991;28: 405-9.

7. Vengsarkar US, Pisipaty RP, Parekh B. et al. Intracraneal tuberculoma and the CT scan. J Neurosurgery 1986;64: 568-74.

8. Selvapandian S, Rajshekhar V, Chandy M y cols. Predictive Value of Computed Tomography based diagnosis of intracraneal tuberculomas. Neurosurgery 1984;35: 845-50.

9. Knosp E, Perneezky A, Koos W y cols. Meningiomas of the Space of the Cavernous Sinus. Neurosurgery 1996; 38: 434-44.

10. Eisenberg M, Al-Mefty O, De Monte F, et al. Benign Nonmeningeal tumors of the cavernous sinus. Neurosurgery 1999; 44: 949-56.