Cystic cerebral tuberculoma. A case report

K. Kunishio, N. Sunami, Yuji Yamamoto, S. Asari, T. Akagi, Y. Ohtsuki

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A case of cystic cerebral tuberculoma is presented. A 63-year-old man was admitted initially to a sanatorium in May, 1983, for the treatment of pulmonary tuberculosis. He developed headache and vomiting, and suddenly had a right hemiconvulsion on September 27, 1983. Gradually he developed right hemiparesis and motor aphasia. CT scan revealed a well defined, ring-like enhanced mass with multioculated cysts in the left fronto-parietal lobe. So, he was transferred to our hospital on February 3, 1984. Neurological examination revealed that he had motor aphasia and right hemiparesis. Left carotid angiogram showed light tumor stain in the left frontoparietal lobe, and 99mTc brain scan detected increased uptake in this area. A left fronto-parieto-temporal craniotomy was performed and a subcortical mass was excised en bloc. The mass had multioculated cysts containing xanthochromic fluid. Histologically, the mass was cystic cerebral tuberculoma. Cystic cerebral tuberculomas have rarely been reported even before the introduction of antituberculous chemotherapy. The pathogenesis of the cysts in this particular case was considered that the caseous material would have undergone liquefaction by enzymes liberated from degenerated and fragmented inflammatory cells.

Original languageEnglish
Pages (from-to)429-434
Number of pages6
JournalNeurological Surgery
Volume14
Issue number3
Publication statusPublished - 1986
Externally publishedYes

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Tuberculoma
Broca Aphasia
Cysts
Paresis
Parietal Lobe
Craniotomy
Neurologic Examination
Pulmonary Tuberculosis
Vomiting
Headache
Angiography
Coloring Agents
Light
Drug Therapy
Brain
Enzymes
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Kunishio, K., Sunami, N., Yamamoto, Y., Asari, S., Akagi, T., & Ohtsuki, Y. (1986). Cystic cerebral tuberculoma. A case report. Neurological Surgery, 14(3), 429-434.

Cystic cerebral tuberculoma. A case report. / Kunishio, K.; Sunami, N.; Yamamoto, Yuji; Asari, S.; Akagi, T.; Ohtsuki, Y.

In: Neurological Surgery, Vol. 14, No. 3, 1986, p. 429-434.

Research output: Contribution to journalArticle

Kunishio, K, Sunami, N, Yamamoto, Y, Asari, S, Akagi, T & Ohtsuki, Y 1986, 'Cystic cerebral tuberculoma. A case report', Neurological Surgery, vol. 14, no. 3, pp. 429-434.
Kunishio K, Sunami N, Yamamoto Y, Asari S, Akagi T, Ohtsuki Y. Cystic cerebral tuberculoma. A case report. Neurological Surgery. 1986;14(3):429-434.
Kunishio, K. ; Sunami, N. ; Yamamoto, Yuji ; Asari, S. ; Akagi, T. ; Ohtsuki, Y. / Cystic cerebral tuberculoma. A case report. In: Neurological Surgery. 1986 ; Vol. 14, No. 3. pp. 429-434.
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