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Intracranial tuberculomas or neurocysticercosis: differentiated by cervical lymph node pathology
BACKGROUND: Diagnosis of tuberculomas can be difficult in the absence of pulmonary involvement due to numerable mimics. CASE REPORT: We report an immunocompetent 20-year-old female patient, who was admitted with new-onset generalized seizure. Cranial magnetic resonance imaging (MRI) revealed multipl...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550306/ https://www.ncbi.nlm.nih.gov/pubmed/36248008 http://dx.doi.org/10.1186/s41983-022-00554-x |
Sumario: | BACKGROUND: Diagnosis of tuberculomas can be difficult in the absence of pulmonary involvement due to numerable mimics. CASE REPORT: We report an immunocompetent 20-year-old female patient, who was admitted with new-onset generalized seizure. Cranial magnetic resonance imaging (MRI) revealed multiple ring-enhancing lesions. There was no reported systemic symptom such as weight loss, fever or night sweating. Polymerase chain reaction for SARS-COV-2 was negative. Computed tomography of thorax was normal. With an initial diagnosis of neurocysticercosis, she was treated with albendazole for one month. Follow-up cranial MRI showed no improvement. On follow-up visit, an enlarged cervical lymph node was recognized. Biopsy of the lymph node led to the diagnosis of tuberculosis. Two months after the onset of anti-tuberculosis therapy, follow-up cranial MRI showed near-complete resolution. CONCLUSION: Investigation of any involvement of disease other than the central nervous system can enable accurate and timely diagnosis of tuberculomas in the absence of pulmonary involvement. |
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