A Case of Cerebral Tuberculoma with Mild Posterior Cervical Pain as the Main Symptom Despite Extensive Brain Lesions

A 59-year-old woman with a diabetes history experienced mild neck pain. A neurological examination revealed only mild neck stiffness. Magnetic resonance imaging showed extensive T2-weighted high-intensity lesions with patchy gadolinium enhancement mainly involving the white matter in the right parie...

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Bibliographic Details
Published in:Internal Medicine 2022, pp.9020-21
Main Authors: Saitoh, Ban-yu, Tateishi, Takahisa, Yoshimura, Motoi, Suzuki, Satoshi O., Isobe, Noriko, Iwaki, Toru, Kira, Jun-ichi
Format: Article
Language:English
Subjects:
Brain biopsy
Cerebral tuberculoma
Mild symptom
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Summary:A 59-year-old woman with a diabetes history experienced mild neck pain. A neurological examination revealed only mild neck stiffness. Magnetic resonance imaging showed extensive T2-weighted high-intensity lesions with patchy gadolinium enhancement mainly involving the white matter in the right parietal lobe. A cerebrospinal fluid analysis revealed increased protein levels and pleocytosis. While QuantiFERON-TB Gold was positive, computed tomography (CT) and fluorodeoxyglucose on positron emission tomography-CT of the whole body showed no abnormal accumulation, suggesting tuberculosis. A brain biopsy revealed cerebral tuberculoma. As cerebral tuberculoma can show minimal neurological symptoms despite extensive lesions, a cautious examination and early treatment are required to prevent a devastating prognosis.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.9020-21