Cerebral tuberculoma and convulsion in infants: A case report.
AIDS, acquired immunodeficiency syndrome
Brain MRI
CRP, C-reactive protein
CT scan, computed tomography scan
Cerebral tuberculoma
Diagnosis
HIV, human immunodeficiency virus
Infant
MRI, magnetic resonance imaging
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
30
09
2022
revised:
18
11
2022
accepted:
29
11
2022
entrez:
13
1
2023
pubmed:
14
1
2023
medline:
14
1
2023
Statut:
epublish
Résumé
Tuberculosis of the central nervous system is the second most common site after tuberculous meningitis. It represents 0.2% of intracranial expansive lesions in some Western countries compared to 10%-30% in developing countries. We report the case of an infant of 1 year and 2 months old who presented for 15 days with convulsions with asthenia, hypotonia, without fever. The clinical examination and laboratory workup were without abnormalities. His father had ongoing pulmonary tuberculosis, but the infant had no clinical or radiological signs of pulmonary tuberculosis. A brain MRI was showed multiple punctiform brain lesions, suggesting intracerebral tuberculomas in the first place, given the clinical and radiological appearance and the father's history of tuberculosis. The patient was put on anti-convulsant and antibacillary treatment. Through this case, we can see the clinical and radiological polymorphism of cerebral tuberculoma. The diagnosis of certainty remains anatomopathological. The prognosis is poor when it is detected late.
Identifiants
pubmed: 36636484
doi: 10.1016/j.radcr.2022.11.082
pii: S1930-0433(22)01068-8
pmc: PMC9829549
doi:
Types de publication
Case Reports
Langues
eng
Pagination
974-978Informations de copyright
© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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