TUBERCULAR MENINGITIS WITH CONCURRENT INTRACRANIAL AND INTRA-SPINAL TUBERCULOMAS

Year 2007, Volume: 4 Issue: 2, 91 - 94, 01.06.2007

Abstract

-

Keywords

-

TUBERCULAR MENINGITIS WITH CONCURRENT INTRACRANIAL AND INTRA-SPINAL TUBERCULOMAS

Abstract

K.S.Hegde Medical Academy, Departments of Medicine, Neurosurgery, Pathology and Radiology, Mangalore, Karnataka, India Central nervous system (CNS) tuberculosis commonly manifests as tubercular meningitis CNS tuberculomas are more common intracranially and less frequently involve the spinal cord. We report an unusual case of CNS tuberculosis presented with predominant features of tubercular meningitis with concurrent intra-cranial and intra-medullary tuberculomas in any evidence of pulmonary disease. Most noticeable feature of this patient was lower motor neuron type of bladder involvement in the beginning of clinical deterioration that led to the discovery of intra- spinal tuberculoma

Keywords

Tuberculosis, tubercular meningitis, intracranial tuberculoma, intra-spinal tuberculoma, tuberculoma

References

• Suzer T, Coskun E, Tahta K, Bayramoglu H, Duzcan E. Intramedullary spinal tuberculoma presenting as a conus tumour: A case report and review of literature. Eur Spine J 1998;7:167-71
• Citow JS, Ammirati M. Intramedullary tuberculoma of the spinal cord: Case report. Neurosurgery 1994;35:327-30
• Thacker MM, Puri AI. Concurrent intra- medullary and intra-cranial tuberculomas. J Postgrad Med 2004;50:107-9
• Huang CR, Lui CC, Chang WN, Wu HS, Chen HJ. Neuroimages of disseminated neurotuberculosis: Report of one case. Clinical Imaging 1999;23:218-22
• Yen HL, Lee RJ, Lin JW, Chen HJ. Multiple tuberculomas in the brain and spinal cord: A case report. Spine 2003; 28:E499-502
• Shen WC, Cheng TY, Lee SK, Ho YJ, Lee KR. Disseminated tuberculomas in spinal cord and brain demonstrated by MRI with Gadolinium-DTPA. Neuroradiology 1993;35:213-5
• Lin SK, Wu T, Wai YY. Intramedullary spinal tuberculomas during treatment of tuberculous meningitis. Clin Neurol Neurosurg 1994;96(1):71-8
• Shaharao VB, Pawar M, Agarwal R, tuberculoma occurring during treatment of tuberculous meningitis. Indian J Pediatr 2004;71:107-8 Intra-medullary
• Kayaoglu CR, Tuzun Y, Boga Z, Erdogan F, Gorguner M, Aydin IH. Intramedullary spinal tuberculoma. A case report. Spine 2000;25:2265-8
• Kumar R, Jain R, Kaur A, Chabbra DK. Brainstem tuberculosis in children. Br J Neurosurg 2000;14:356-61
• Gupta VK, Sharma BS, Khosla VK. Intramedullary of two cases with MRI findings. Surg Neurol 1995;44:241-4 Report
• Rhoton EL, Ballinger WE Jr., Quisling R, Sypert GW. Intramedullary Spinal Tuberculoma. Neurosurgery 1988;22: 733-5