Open AccessCerebral Tuberculoma of Right Frontal Lobe in an Unconscious Patient
Author(s) -
Yam Bahadur Roka,
Narayani Roka
Publication year - 2020
Publication title -
journal of nepal health research council
Language(s) - English
Resource type - Journals
eISSN - 1999-6217
pISSN - 1727-5482
DOI - 10.33314/jnhrc.v18i1.2160
Subject(s) - tuberculoma , medicine , abscess , tuberculosis , differential diagnosis , coma (optics) , presentation (obstetrics) , brain abscess , glasgow coma scale , surgery , radiology , pathology , physics , optics
Cerebral tuberculoma of the brain are uncommon presentation of tuberculosis (1%). A 17-year female presented to the emergency with a Glasgow Coma Score of (eye-1, verbal-1 and motor-3), 5/15 bilateral fixed pupils with laborious breathing. The radiological features were suggestive of aintracerebral abscess/ glioma. Intraoperatively the brain was very tense and a large, vascular, mass was present that was excised completely. Her histopathology revealed features of tuberculoma and she was started on anti-tubercular treatment. She is discharged home with regular follow-up for the last 10 months.Cerebral tuberculoma although uncommon should be thought of in developing countries as differential of cystic enhancing lesions of the brain.Keywords: Abscess; central nervous system; glioma; tuberculoma; tuberculosis