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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2017; 06(02): 155-158
DOI: 10.1055/s-0037-1601365
Short Communication
Thieme Medical and Scientific Publishers Private Ltd.

Brain Studded with Innumerable Larger Stones: Starry Sky at Night Appearance: Multiple Calcified Giant Tuberculoma with 15 Years of Follow-up

Guru Dutta Satyarthee
1   Department of Neurosurgery, Neurosciences Centre, AIIMS, New Delhi, India
,
P. S. Chandra
1   Department of Neurosurgery, Neurosciences Centre, AIIMS, New Delhi, India
,
A. K. Mahapatra
1   Department of Neurosurgery, Neurosciences Centre, AIIMS, New Delhi, India
› Author Affiliations
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Publication History

21 September 2016

23 January 2017

Publication Date:
12 April 2017 (online)

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Abstract

Tuberculosis is rapidly reemerging as a major health problem due to rising incidence of HIV cases across the globe. Central nervous system involvement is rare, but rarely multiple intracerebral granulomas can occur or occasional solitary tuberculoma also develops. The authors report a unique case of 24-year-old woman suffering from pulmonary tuberculosis developed headache and vomiting. Cranial CT scan revealed multiple widespread deposit of intracranial granuloma of sizeable lesion mimicking starry sky at night appearance. Excision of one tuberculoma was done for confirmation of definitive diagnosis, and histopathology was suggestive of tuberculoma. The patient also underwent VP shunt surgery. At last follow-up at 15 years following surgery, she was doing well.

Keywords

multiple intracranial tuberculoma - stones - starry night appearances - hydrocephalus - histopathological diagnosis
 

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