J Korean Neurosurg Soc.  1993 Feb;22(2):309-314.

A Case of Adult Brain Stem Tuberculoma:MR Imaging: Case Report

• Chung H
• Kim SG
• Kim MS
• Choi KH
• Yeo HT
• Rhee JK

Abstract

A 39 years old healthy male patient with intracranial brain stem tuberculoma manifested hydrocephalic symptoms due to obstruction of aqueduct of sylvius is presented. Surgical excision was undertaken for obtaining histologic diagnosis and resolving hydrocephalus, which made postoperative neurologic deficits. CT and Magnetic resonance(MR) imaging of intracranial tubercuroma were studied for approaching nonsurgical diagnosis of tuberculoma. MR imaging of tuberculoma shows low intensity on T2-weighted imaging with Magnevistring enhancement. The MR imaging feature of the tuberculoma were found to be distinct from those abscess, metastasis and glioma. Antituberculous chemotherapy is thought to be better than surgical approach in managing brain stem tuberculoma if radiologic diagnosis was obtained.

Keyword

Tuberculoma; Brain stem; Hydrocephalus; Surgical excision; CT; MR imaging; Nonsurgical diagnosis

MeSH Terms

Abscess
Adult*
Brain Stem*
Brain*
Cerebral Aqueduct
Diagnosis
Drug Therapy
Glioma
Humans
Hydrocephalus
Magnetic Resonance Imaging
Male
Neoplasm Metastasis
Neurologic Manifestations
Tuberculoma