Multiple Dural Tuberculomas Presenting as Leptomeningeal Carcinomatosis
Joint Authors
Bekar, Ahmet
Başaran, Elif
Taşkapılıoğlu, Özgür
Karaoğlu, Ahmet
Kocaeli, Hasan
Source
Case Reports in Neurological Medicine
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective and Importance.
We present the rare occurrence of multiple dural-based tuberculomas mimicking leptomeningeal carcinomatosis in a young immunocompetent patient.
Clinical Presentation.
A 36-year-old man presented with a 2-month history of generalized epileptic activity and altered perception.
Neurological examination was remarkable for bilateral Babinski's sign.
Cranial magnetic resonance imaging (MRI) revealed multiple dural-based enhancing lesions with cerebral edema.
Intervention.
A right frontal craniotomy was performed for diagnosis.
Histological examination revealed multiple confluent necrotizing and nonnecrotizing granulomas with giant cells which was consistent with tuberculosis (TB), and the patient was placed on anti-TB therapy for 24 months.
Conclusion.
To the best of our knowledge isolated diffuse involvement of the dura mater by TB, mimicking leptomeningeal carcinomatosis, as the sole manifestation of disease has not been reported before.
Since pachymeningeal TB is rarely suspected when atypical radiological appearance is combined with the absence of systemic disease, biopsy is inevitably required for diagnosis.
American Psychological Association (APA)
Kocaeli, Hasan& Taşkapılıoğlu, Özgür& Başaran, Elif& Karaoğlu, Ahmet& Bekar, Ahmet. 2011. Multiple Dural Tuberculomas Presenting as Leptomeningeal Carcinomatosis. Case Reports in Neurological Medicine،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-482479
Modern Language Association (MLA)
Kocaeli, Hasan…[et al.]. Multiple Dural Tuberculomas Presenting as Leptomeningeal Carcinomatosis. Case Reports in Neurological Medicine No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-482479
American Medical Association (AMA)
Kocaeli, Hasan& Taşkapılıoğlu, Özgür& Başaran, Elif& Karaoğlu, Ahmet& Bekar, Ahmet. Multiple Dural Tuberculomas Presenting as Leptomeningeal Carcinomatosis. Case Reports in Neurological Medicine. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-482479
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482479