Open AccessHeadache and Central Positioning Vertigo in a Middle Aged Female-a Case of Solitary Cerebellar Tuberculoma Involving Left Cerebellar Hemisphere
Author(s) -
Shakya Bhattacharjee,
Arijit Majumdar,
Angshuman Jana
Publication year - 2012
Publication title -
türk nöroloji dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.144
H-Index - 4
eISSN - 1309-2545
pISSN - 1301-062X
DOI - 10.4274/tnd.47965
Subject(s) - medicine , tuberculoma , cerebellar hemisphere , vertigo , cerebellum , anatomy , surgery , pathology , tuberculosis
A 48 year old female presented with headache and an illusory sensation of spinning of head in respect to environment for last 8 weeks. Her head spinning or vertigo had no particular direction or not precipitated by any specific head posture. Headache is non- specific in nature and intensified in last few days.Her neurological examination revealed a central positional vertigo with horizontal gaze evoked nystagmus and ataxia. Her MRI scan brain showed the presence of a large solitary ring enhancing lesion in the left cerebellar hemisphere. The lesion was surgically excised and was examined histopathologicaliy that revealed a chronic inflammatory granuloma with caseation necrosis and multinucleated giant cells suggestive of tuberculosis