Investig Magn Reson Imaging.  2016 Sep;20(3):200-205. 10.13104/imri.2016.20.3.200.

En Plaque Tuberculoma: a Case Report

• Kim YE
• Lee D
• Hwang H
• Kim M

• KMID: 2354803
• DOI: http://doi.org/10.13104/imri.2016.20.3.200

Abstract

In Korea, tuberculosis is still common disease. Central nervous system tuberculosis can manifest in a variety of forms, including tuberculous meningitis, tuberculous cerebritis, tuberculoma, tuberculous abscess, and miliary tuberculosis. Although intra-axial tuberculomas are the more common type of CNS tuberculosis, extra-axial lesions are rarely encountered. En plaque tuberculoma is an extremely rare presentation of intracranial tuberculosis with mimicking primary or secondary meningeal neoplasia. We describe a rare case of an en plaque tuberculoma accompanied by tuberculous meningitis and tuberculomas.

Keyword

En plaque tuberculoma; CNS tuberculosis; Magnetic resonance imaging

MeSH Terms

Abscess
Korea
Magnetic Resonance Imaging
Tuberculoma*
Tuberculosis
Tuberculosis, Central Nervous System
Tuberculosis, Meningeal
Tuberculosis, Miliary

Reference

1. Kwon YS, Koh WJ. Diagnosis of pulmonary tuberculosis and nontuberculous mycobacterial lung disease in Korea. Tuberc Respir Dis (Seoul). 2014; 77:1–5.

2. Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR. Tuberculosis: a radiologic review. Radiographics. 2007; 27:1255–1273.

3. Khanna PC, Godinho S, Patkar DP, Pungavkar SA, Lawande MA. MR spectroscopy-aided differentiation: "giant" extra-axial tuberculoma masquerading as meningioma. AJNR Am J Neuroradiol. 2006; 27:1438–1440.

4. Korea Centers for Disease Control and Prevention. Annual report on the notified tuberculosis in Korea. Cheongju (South Korea): The Centers;2015.

5. Aggarwal A, Patra DP, Gupta K, Sodhi HB. Dural tuberculoma mimicking meningioma: a clinicoradiologic review of dural en-plaque lesions. World Neurosurg. 2016; 88:686.e1–686.e7.

6. Srikanteswara PK, Pampapati PK, Yelsangikar KR. En-plaque central nervous system tuberculoma - an uncommon entity: clinico-radiological profile in a Cohort from a tertiary referral centre. J Clin Diagn Res. 2016; 10:OC11–OC14.

7. Patkar D, Narang J, Yanamandala R, Lawande M, Shah GV. Central nervous system tuberculosis: pathophysiology and imaging findings. Neuroimaging Clin N Am. 2012; 22:677–705.

8. Alkan A, Parlak M, Baysal T, Sigirci A, Kutlu R, Altinok T. Enplaque tuberculomas of tentorium in a pregnant woman: follow-up with MRI(2003:2b). Eur Radiol. 2003; 13:1190–1193.

9. Lee JY. Diagnosis and treatment of extrapulmonary tuberculosis. Tuberc Respir Dis (Seoul). 2015; 78:47–45.

10. Adachi K, Yoshida K, Tomita H, Niimi M, Kawase T. Tuberculoma mimicking falx meningioma--case report. Neurol Med Chir (Tokyo). 2004; 44:489–449.