Abstract
Tuberculomas are common forms of central nervous system tuberculosis, presenting as space-occupying-lesions. Brainstem tuberculomas are rare among all intracranial tuberculomas. In old patients, in the absence of tuberculosis history, diagnosis may be challenging. In this case, we present a 70-year-old patient, with bladder cancer, without known tuberculosis who presented with stroke-like symptoms, clinically. Diffusion-weighted imaging revealed no finding of stroke, however, a medulla oblongata tuberculoma, mimicking metastasis was evident on MRI.
Similar content being viewed by others
References
Kim TK, Chang KH, Kim CJ, Goo JM, Kook MC, Han MH (1995) Intracranial tuberculoma: comparison of MR with pathologic findings. Am J Neuroradiol 16:1903–1908
Salgado P, Del Brutto OH, Talamás O, Zenteno MA, Rodríguez-Carbajal J (1989) Intracranial tuberculoma: MR imaging. Neuroradiology 31:299–302
Sahaiu-Srivastava S, Jones B (2008) Brainstem tuberculoma in the immunocompetent: case report and literature review. Clin Neurol Neurosurg 110:302–304
Gropper MR, Schulder M, Duran HL, Wolansky L (1994) Cerebral tuberculosis with expansion into brainstem tuberculoma. Report of two cases. J Neurosurg 81:927–931
Talamás O, Del Brutto OH, García-Ramos G (1989) Brain-stem tuberculoma. An analysis of 11 patients. Arch Neurol 46:529–535
Menon V, Gogoi M, Saxena R, Singh S, Kumar A (2004) Isolated “one and a half syndrome” with brainstem tuberculoma. Indian J Pediatr 71:469–471
Saxena R, Menon V, Sinha A, Sharma P, Kumar DA, Sethi H (2006) Pontine tuberculoma presenting with horizontal gaze palsy. J Neuroophthalmol 26:276–278
van Toorn R, Schoeman JF, Donald PR (2006) Brainstem tuberculoma presenting as eight-and-a-half syndrome. Eur J Paediatr Neurol 10:41–44
Sonmez G, Ozturk E, Sildiroglu HO et al (2008) MRI findings of intracranial tuberculomas. Clin Imaging 32:88–92
Sathyanarayana S, Baskaya MK, Fowler M, Roberts R, Nanda A (2003) Solitary tuberculoma of the cerebellopontine angle: a rare presentation. J Clin Neurosci 10:120–122
Sugimori H, Saku Y, Ibayashi S, Ogasawara T, Fujishima M, Iida M (2002) Solitary pontine tuberculoma. Intern Med 41:738–742
Poonnoose SI, Singh S, Rajshekhar V (2004) Giant cerebellar tuberculoma mimicking a malignant tumour. Neuroradiology 46:136–139
Vasudev MK, Jayakumar PN, Srikanth SG, Nagarajan K, Mohanty A (2007) Quantitative magnetic resonance techniques in the evaluation of intracranial tuberculomas. Acta Radiol 48:200–206
Gupta RK, Prakash M, Mishra AM, Husain M, Prasad KN, Husain N (2005) Role of diffusion weighted imaging in differentiation of intracranial tuberculoma and tuberculous abscess from cysticercus granulomas—a report of more than 100 lesions. Eur J Radiol 55:384–392
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Donmez, F.Y., Coskun, M. & Guven, G. Medulla oblongata tuberculoma mimicking metastasis presenting with stroke-like symptoms. Neurol Sci 30, 349–352 (2009). https://doi.org/10.1007/s10072-009-0099-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-009-0099-6