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Anhelation due to formation of tuberculomas at the medulla oblongata during chemotherapy of tuberculous meningitis
Author(s) -
Pengfei Ge,
Xiaojie Zhang,
Yangping Zhong,
Xinchao Bian,
Shuanglin Fu,
Yinan Luo
Publication year - 2012
Publication title -
neurologia i neurochirurgia polska
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.484
H-Index - 26
eISSN - 1897-4260
pISSN - 0028-3843
DOI - 10.5114/ninp.2012.31363
Subject(s) - medicine , medulla oblongata , chemotherapy , tuberculous meningitis , meningitis , tuberculosis , tuberculoma , pathology , surgery , central nervous system
Formation of tuberculoma is a rare response of neurotuberculosis in patients regularly and adequately treated with anti-tuberculous drugs. We report a 13-year-old girl with two tuberculomas which formed in the dorsal part of the medulla oblongata during chemotherapy for tuberculous meningitis. The tuberculomas were both removed via a suboccipital midline approach and were demonstrated by pathological findings but the girl died of cardiac arrest that was thought to be caused by postoperative medulla oblongata oedema. In combination with a literature review, we discuss the clinical features and treatment options of brainstem tuberculomas.

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