Beyin ve medüller spinal kord tüberkülomu birlikteliği: cerrahi tedaviye ihtiyaç duyulmayan bir olgu

Year 2012, Volume: 9 Issue: 2, 77 - 78, 01.08.2012

Suda Tekin Koruk Celal Calisir Hasan Cece Mehmet Refik Bayraktar

Abstract

Merkezi sinir sistem MSS tüberkülozu, tüberkülozun daha nadir rastlanan bir formudur. Genellikle yüzeyel infekte bir alanın rüptürü sonrasında yayılır. Bu yazıda 18 yaşında bir kadın hastada, çok ender görülen beyin ve medüller spinal kord tutulumunun birlikte görüldüğü MSS tüberkülozu olgusu sunulmaktadır. Hasta, cerrahi herhangi bir müdahaleye ihtiyaç duymadan antitüberküloz tedavi ile iyileşti. Türkiye gibi tüberküloz açısından endemik bölgelerde, ateş, gece terlemeleri, diplopi ve fokal nörolojik hasar varlığında MSS tüberkülozu akla getirilmelidir. Ayrıca MSS tüberkülozu olan hastaların hepsinde de cerrahi müdahaleye ihtiyaç duyulmayabilir

Keywords

Beyin, ekstrapulmoner tüberküloz, spinal tuberkülom

Concurrent intracranial and intramedullary spinal cord tuberculomas: a case who did not require surgical intervention

Abstract

Central nervous system CNS tuberculosis is an unusual entity of tuberculosis. It usually results from rupture of superficial infective focus. Here, we report a rare case of concurrent intracranial and intramedullary spinal cord tuberculomas in an 18-year-old woman. The patient was presented with headache, diplopia, malaise, weight loss and intermittent fever. She improved well on antituberculous drugs without neurosurgical excision of the lesions. We emphasize that, in endemic areas of tuberculosis, such as Turkey, in the presence of fever, night sweats, diplopia and focal neurological deficits, one should not rule out the existence of CNS tuberculosis. Also not all cases of CNS require surgical intervention

Keywords

Brain, extrapulmonary tuberculosis, spinal tuberculoma

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