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Isolated Brainstem Tuberculoma in Rural Area Case Report

Journal: International Journal of Science and Research (IJSR) (Vol.10, No. 6)

Publication Date:

Authors : ; ; ; ; ;

Page : 503-505

Keywords : tuberculoma; brainstem; case report; CT-scan;

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Abstract

Background: Intracranial tuberculosis isn?t uncommon in developing countries but localization to the brainstem is rare. We report an isolated brainstem tuberculoma at Matlaboulfawzaini hospital of Touba in Senegal. Case Presentation: This is a 24-year-old male with the notion of tuberculosis contact in his older brother admitted for headache, dizziness, partial left half-body crisis and left half-body deficit 4/5. The symptomatology have occurred progressively 03 months before his admission. The CT -Scan showed a single lobulated enhancing mass in brainstem. C-Reactive Protein was 48, Human Immunodeficiency Virus test was negative. The diagnostic of tuberculoma seemed more likely for us. He received a treatment based on antituberculosis and corticosteroids with a good evolution that was marked by a complete recovery of the deficit with headaches and dizziness regression. The control CT-scan after 08 months showed complete regression of the lesion. Conclusion: Antitubercular therapy gives very good results in the management of brainstem tuberculomas. This treatment confirms the diagnosis especially in countries where stereotaxis and neuronavigation biopsy have not yet emerged.

Last modified: 2021-07-05 13:46:22