Intracranial tuberculous abscess mimicking malignant glioma

Brain abscess is probably the least common manifestation of tuberculous infection of the central nervous system; meningitis and tuberculoma are much more common. A case of tuberculous brain abscess in a 23-year-old man with previous history of Tbc meningitis is presented. The computerized tomographi...

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Bibliographic Details
Published in:Neurosurgical review 1994-01, Vol.17 (4), p.317-320
Main Authors: Ildan, F, Gürsoy, F, Gül, B, Boyar, B, Kihiç, C
Format: Article
Language:English
Subjects:
Adult
Antitubercular Agents - therapeutic use
Bacterial diseases
Biological and medical sciences
Brain - pathology
Brain Abscess - diagnosis
Brain Abscess - pathology
Brain Abscess - surgery
Diagnosis, Differential
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Neurologic Examination
Postoperative Care
Recurrence
Tomography, X-Ray Computed
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Meningeal - diagnosis
Tuberculosis, Meningeal - pathology
Tuberculosis, Meningeal - surgery
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Summary:Brain abscess is probably the least common manifestation of tuberculous infection of the central nervous system; meningitis and tuberculoma are much more common. A case of tuberculous brain abscess in a 23-year-old man with previous history of Tbc meningitis is presented. The computerized tomographic scan demonstrated a unilocular space-occupying lesion in the left thalamic region, surrounded by a thick hyperdense enhancing rim. It is suggested that a relatively long clinical history and previous Tbc meningitis history together with the appearance of a thick-walled abscess-like lesion on the CT scan may indicate the diagnosis of a tuberculous brain abscess. Only after neurosurgical removal of the abscess, the pathohistological examination reveal tuberculous etiology of the abscess. The patient later died from aspiration bronchopneumonia. Only 28 instances of tuberculous abscess have been reported in the literature.
ISSN:0344-5607
1437-2320
DOI:10.1007/BF00306826