A case report of stroke due to brain stem tuberculoma

Title: A case report of stroke due to brain stem tuberculoma

Authors: Dr Manomenane.M, Dr A.K. Badrinath MD General Medicine, Dr S. Suresh Babu MD General Medicine

DOI: https://dx.doi.org/10.18535/jmscr/v8i12.39

Abstract

Tuberculosis still highly prevalent in developing countries commonly affects the lungs. Central nervous system (CNS) involvement in tuberculosis is common in India but tuberculoma a manifestation of tuberculosis which mimics a tumor is not common.¹ most of the CNS tuberculoma presents with seizures or focal signs . here we presents an elderly female with acute CVA with right sided hemiparesis .computed tomography of the brain showed a hyperdense lesion in the left pons. Further contrast enhanced MRI brain revealed left pontine tuberculoma. There are few case reports of tuberculoma presenting as acute stroke.

Keywords: Stroke, brain stem, tuberculoma.

References

Murthy JMK. Tuberculous meningitis: The challenges. Neurology India. 2010; 58(5): 716-22.
Rock RB, Olin M, Baker CA, Molitor TW, Peterson PK. Central nervous system tuberculosis:pathogenesis and clinical aspects. Clin Microbiol Rev.2008; 21(2):243-61.
Gautam VKS, Singh R, Khurana S. Brainstem tuberculoma presenting as stroke IOSR journals.2013; 4(6):18-19.
Ramamurthi B, Varadajan MG. Diagnosis of tuberculoma of the brain. Journal of neurosurgery. 1961;18;1-7.
Wasay M, Kheleani BA, Moolani MK, et al. Brain CT and MRI findings in 100 consecutive patients with intracranial tuberculoma. Neuroimaging. 2003;13 (3):240-47.

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