Summary
Tuberculomas of the brain are rare in the United States. Although CAT (computerized axial tomography) scanning cannot distinguish these infections from other intracranial mass lesions, it provides a non-invasive technique with which to follow the course of presumptive lesions during medical therapy, and with which to search for clinically unsuspected infections. The necessity for and timing of surgery can be considered more easily with this technique. Two cases are presented with their CAT scans, including one example of the disappearance of a presumptive tuberculoma, during appropriate medical therapy.
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References
Amstrong, F. B., Edwards, A. M., Intracranial tuberculoma in native races of Canada. With special reference to symptomatic epilepsy and neurologic features. Canad. Med. Assoc. J.89 (1963), 56–65.
Anderson, J. M., MacMillan, J. J., Intracranial tuberculoma-an increasing problem in Britain. J. Neurol. Neurosurg. Psychiat.38 (1975), 194–201.
Arseni, C., Two hundred and one cases of intracranial tuberculoma treated surgically. J. Neurol. Neurosurg. Psychiat.21 (1958), 308–311.
Asenjo, A., Valladares, H., Fierro, J., Tuberculomas of the brain. Arch. Neurol.65 (1951), 146–160.
Balaparameswararao, S., Dinakar, I., Tuberculomas of the brain. Int. Surg.57 (1972), 216–220.
Banna, M., Hankinson, J., Odoris, B. J., Interhemispheric suprasellar tuberculoma. Brit. J. Radiol.46 (1973), 550–553.
Bannister, C. M., A tuberculous abscess of the brain. Case report. J. Neurosurg.33 (1970), 203–206.
Bernstein, T. C., Krueger, E. G., Nayer, H. R., Tuberculoma of the brain. Surgical removal in the presence of widespread tuberculosis. Amer. Rev. Tuberc.62 (1950), 654–666.
Capon, A., Noterman, J., Hubert, J. P., Klastersky, J., Flament-Durant, J., Multiple tuberculomas of the brain. Acta neurochir. (Wien)32 (1975), 303–312.
Castro, M., Lepe, A., Cerebral tuberculoma. Acta Radiol. (Diagn.)1 (1963), 821–827.
Cushing, H., Intracranial tumours. Notes upon a series of two thousand verified cases with surgical-mortality percentages pertaining thereto. Springfield, Ill.: Ch. C Thomas. 1932.
Dastur, H. M., Tuberculoma. Handbook of Clinical Neurology, P. J. Vinken and G. W. Bruyn (eds.) Vol. 18, Chap. 17, pp. 413–426. New York: American Elsevier Publishing Co. 1975.
Dastur, H. M., Desai, A. D., A comparative study of brain tuberculomas and gliomas based upon 107 case records of each. Brain88 (1956), 375–396.
Descuns, P., Garré, H., Phéline, C., Tuberculomas of the brain and cerebellum. J. Neurosurg.11 (1954), 243–250.
Gonzalez-Revilla, A., Intracranial tuberculomas, experience with ten consecutive cases. J. Neurosurg.9 (1952), 555–563.
Higazi, I., Tuberculoma of the brain. J. Neurosurg.20 (1963), 378–386.
Jacques, S.,et al., Supratentorial tuberculoma: A case report and review. Bull. Los Angeles Neurol. Soc.39 (1974), 56–59.
Lehrer, H., Venkatesh, B., Girolamo, R., Smith, A., Tuberculoma of the brain (revisited). Amer. J. Roent. Rad. Ther. Nucl. Med.118 (1973), 594–600.
Leibrock, L., Epstein, M. H., Rybock, J. D., Cerebral tuberculoma localized by EMI scan. Surg. Neurol.5 (1976), 305–306.
Lieberman, A., Dart, L., Bennett, R., Intracerebral tuberculoma. J. Neurosurg.33 (1970), 331–333.
Mathai, K. V., Chandy, J., Tuberculous infection of the nervous system. Clin. Neurosurg.14 (1966), 145–177.
Maurice-Williams, R. S., Tuberculomas of the brain in Britain. Postgraduate Med. J.48 (1972), 678–681.
Ramamurthi, B., Varadarajan, M. G., Diagnosis of tuberculomas of the brain. J. Neurosurg.18 (1961), 1–7.
Roedenbeck, S. D., Tuberculomas of the nervous system in children. A report of 32 cases. Wld. Neurol.3 (1962), 54–65.
Snider, D. E., Extrapulmonary tuberculosis in Oklahoma. Amer. Rev. Resp. Dis.111 (1975), 641–646.
Thrush, D. C., Barwich, D. D., Three patients with intracranial tuberculomas with unusual features. J. Neurol. Neurosurg. Psychiat.37 (1974), 566–569.
Van Wagenen, W. P., Tuberculoma of the brain. Its incidence among intracranial tumors and its surgical aspects. Arch. Neurol. Psychiat.17 (1927), 57–92.
Wilkinson, H. A.,et al., Central nervous system tuberculosis: A persistent disease. J. Neurosurg.34 (1971), 15–22.
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Hirsh, L.F., Lee, S.H. & Silberstein, S.D. Intracranial tuberculomas and the CAT scan. Acta neurochir 45, 155–161 (1978). https://doi.org/10.1007/BF01774390
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DOI: https://doi.org/10.1007/BF01774390