Abstract
Five cases of intracranial tuberculoma in Asian adults are described, all of whom presented with epilepsy. The computerised tomographic (CAT) scanner displayed the lesions particularly well, and their characteristics are described. Only two cases were explored surgically, but triple antituberculous chemotherapy has the scan abnormalities in all of them to resolve completely. It is concluded that Asian patients with lesions likely to be tuberculous should be given a trail of antituberculous drugs, and only explored if they should deteriorate clinically, or if the lesion should fail to respond on serial scans.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ASENJO A., VALLADARES H., FIERRO J. Tuberculomas of the brain; report of 159 cases. AMA Arch Neurol Psychiatry. 1951 Feb;65(2):146–160. doi: 10.1001/archneurpsyc.1951.02320020018002. [DOI] [PubMed] [Google Scholar]
- Anderson J. M., Macmillan J. J. Intracranial tuberculoma--an increasing problem in Britain. J Neurol Neurosurg Psychiatry. 1975 Feb;38(2):194–201. doi: 10.1136/jnnp.38.2.194. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BERLIN L. TUBERCULOMA OF THE BRAIN. Am J Roentgenol Radium Ther Nucl Med. 1963 Dec;90:1185–1192. [PubMed] [Google Scholar]
- Claveria L. E., du Boulay G. H., Moseley I. F. Intracranial infections: investigation by computerized axial tomography. Neuroradiology. 1976 Nov 11;12(2):59–71. doi: 10.1007/BF00333121. [DOI] [PubMed] [Google Scholar]
- Dastur D. K., Lalitha V. S., Prabhakar V. Pathological analysis of intracranial space-occupying lesions in 1000 cases including children. 1. Age, sex and pattern; and the tuberculomas. J Neurol Sci. 1968 May-Jun;6(3):575–592. doi: 10.1016/0022-510x(68)90036-1. [DOI] [PubMed] [Google Scholar]
- Dastur H. M. A tuberculoma review with some personal experiences. I. Brain. Neurol India. 1972 Sep;20(3):111–126. [PubMed] [Google Scholar]
- Dastur H. M., Desai A. D. A comparative study of brain tuberculomas and gliomas based upon 107 case records of each. Brain. 1965 Jun;88(2):375–396. doi: 10.1093/brain/88.2.375. [DOI] [PubMed] [Google Scholar]
- Fox W. Philip Ellman lecture. The modern management and therapy of pulmonary tuberculosis. Proc R Soc Med. 1977 Jan;70(1):4–15. doi: 10.1177/003591577707000103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kramer R. A., Janetos G. P., Peristein G. An approach to contrast enhancement in computed tomography of the brain. Radiology. 1975 Sep;116(3):641–647. doi: 10.1148/116.3.641. [DOI] [PubMed] [Google Scholar]
- Leibrock L., Epstein M. H., Rybock J. D. Cerebral tuberculoma localized by EMI scan. Surg Neurol. 1976 May;5(5):305–306. [PubMed] [Google Scholar]
- Maurice-Williams R. S. Tuberculomas of the brain in Britain. Postgrad Med J. 1972 Nov;48(565):678–681. doi: 10.1136/pgmj.48.565.678. [DOI] [PMC free article] [PubMed] [Google Scholar]
- OBRADOR S. Intracranial tuberculomas; a review of 47 cases. Neurochirurgia (Stuttg) 1959 Feb;1(2):150–157. doi: 10.1055/s-0028-1095528. [DOI] [PubMed] [Google Scholar]
- RAMAMURTHI B., VARADARAJAN M. G. Diagnosis of tuberculomas of th brain. Clinical and radiological correlation. J Neurosurg. 1961 Jan;18:1–7. doi: 10.3171/jns.1961.18.1.0001. [DOI] [PubMed] [Google Scholar]
- SIBLEY W. A., O'BRIEN J. L. Intracranial tuberculomas; a review of clinical features and treatment. Neurology. 1956 Mar;6(3):157–165. doi: 10.1212/wnl.6.3.157. [DOI] [PubMed] [Google Scholar]
- Thrush D. C., Barwick D. D. Three patients with intracranial tuberculomas with unusual features. J Neurol Neurosurg Psychiatry. 1974 May;37(5):566–569. doi: 10.1136/jnnp.37.5.566. [DOI] [PMC free article] [PubMed] [Google Scholar]