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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2020; 39(02): 142-145
DOI: 10.1055/s-0040-1708895
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Brain Tuberculoma as a Differential Diagnosis of Single Intracranial Lesion: Case Report

Tuberculoma cerebral como diagnóstico diferencial de lesão intracraniana única: Relato de caso
Bruno Missio Gregol 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
,
Taís Otilia Berres 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
,
Tasso Barreto 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
,
Richard Giacomelli 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
,
Daniela Schwingel 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
,
Clarissa Giaretta Oleksinski 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
,
Paulo Moacir Mesquita Filho 
1   Department of Neurosurgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, RS, Brazil
› Institutsangaben
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Publikationsverlauf

14. August 2019

15. Januar 2020

Publikationsdatum:
06. April 2020 (online)

   Lizenzen und Reprints

Abstract

Tuberculosis (TB) of the central nervous system (CNS) is considered one of the most severe forms of presentation of the disease. Although only 1% of TB cases involve the CNS, these cases represent around between 5 and 15% of extrapulmonary forms.[1] [2] Tuberculous meningitis (TBM) is the most frequent form of CNS TB. The granulomas formed in the cerebral tuberculoma may cause hydrocephalus and other symptoms indicative of a CNS mass lesion. In the absence of active TB or TBM, the symptoms may be interpreted as indicative of tumors.[3] [4] The prognosis is directly related to the early diagnosis and proper treatment installation.[5] We report the case of a patient with intracranial hypertension syndrome, expansive mass in the parieto-occipital region, accompanied by a lesion in the rib, initially thought to be a metastatic lesion, although posteriorly diagnosed as a cerebral tuberculoma.

Resumo

A tuberculose (TB) do sistema nervoso central (SNC) é considerada uma das formas mais graves de apresentação da doença. Embora apenas 1% dos casos de TB envolvam o SNC, isto representa aproximadamente entre 5 e 15% das formas extrapulmonares.[1] [2] A meningite tuberculosa é a forma mais frequente de TB do SNC. Os granulomas formados no tuberculoma cerebral podem causar hidrocefalia e outros sintomas indicativos de lesão com efeito de massa no SNC. Na ausência de TB ativa ou meningite tuberculosa, os sintomas podem ser interpretados como indicativos de tumores intracranianos.[3] [4] O prognóstico está diretamente relacionado ao diagnóstico precoce e instalação adequada do tratamento.[5] Relatamos o caso de um paciente com síndrome de hipertensão intracraniana, formação expansiva em região parieto-occipital esquerda, acompanhada por lesão em arco costal, inicialmente tida como metástase, com posterior diagnóstico de tuberculoma cerebral.

Keywords

brain tuberculoma - metastasis - diagnosis

Palavras-chave

tuberculoma cerebral - metástase - diagnóstico
 

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