2016, Number 4
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Arch Neurocien 2016; 21 (4)
Cerebritis and multifocal CNS tuberculoma HIV negative patient
Chávez LJA, García CR, Garcia S, Zarate MA
Language: Spanish
References: 19
Page: 50-55
PDF size: 211.66 Kb.
ABSTRACT
TB is the most prevalent endemic disease in the world. Involvement of the central nervous system occurs in 10-15% of patients with tuberculosis. Mainly it affects the meningeal membranes, brain and spinal cord, rarely they have been described in the literature. We presented the case of a male patient 24 years old, with clinical of one-year evolution, characterized by paresthesia, paresis, and seizures. Imaging studies revealed multiple cortical lesions with enhancement giral. The final diagnosis was cerebritis and multifocal CNS tuberculoma.
REFERENCES
Rich AR, Mccordoc HA. Pathogenesis of tubercular meningitis. Bull John Hopkins Hosp.1933; 52:5-13.
Whitener DR. Tuberculous brain abscess. Report a case and review of the literature. Arch Neurol 1978;35(4):148-55.
Bhargava S, Gupta AK, Tandon PN. Tuberculous meningitis, a TC study. Br J Radiol 1982; 55:189-96.
Garcia-Monco JC. Central nervous system tuberculosis. Neurol Clin 1999; 17:737-59.
Kanchan L, Xiwen S. Various manifestation of central nervous system tuberculosis: a review. Biomedical L 2016;2(1):1-7.
Morgado C, Ruivo N. imaging meningo-encephalic tuberculosis. Euro J Radio 2005;55(2):188-92.
Vidal JE, Oliveira CP, Laguna F, et al. “tuberculous brain abscess in AIDS patients: report of three cases and literature review. International journal of infectious Diseases 2005;9(4):201-7.
Tyson G, Newman P, Strachan WE. Tuberculous brain abscess. Surg Neurol 1978; 10(5):323-5.
Bhargava S, Tandon PN. Intracranial tuberculomas: a CT study. Br J Radiol 1980; 53:935-45.
Dastur HM, Desai AD. A comparative study of brain tuberculomas and gliomas based upon 107 case records of each. Brain 1965; 88:375-96.
Dastur DK, Dave UP. Ultrastructural basis of the vasculopaty in and around brain tuberculomas. Possible significance of altered basement membrane. AM J Pathol 1977; 89:35-45.
Dechambenoit G, Boni NG, Santini JJ, Ba Z, Beaumel A, Kakou M. tuberculous abscess of the cerebellum, Neurochirurgie. 1993; 39(5):326-29.
Machado DM, Marchiori E, Praxedes MC, Malheriros NR, Santos AA. Abscesso cerebral tuberculoso na SIDA: relato da um caso. Radiol Bras 1995; 28:343-7.
Martinez L, Burillo J, Niubo R, Rufi G, et al. Tuberculoma cerebral, a propósito de ocho casos. Med Clin 1991:97:218-23.
Whiteman M, Espinoza L, Post Mj, Bell MD, Falcone S. Central Nervous system tuberculosis in HIV- infected patients: clinical and radiographic findings. Am J Neurorradiol 1995; 16(6):1319-27.
Farrar DJ, Flannigan TP, Gordon NM, et al. tuberculous brain abscess in a patient with HIV infection: case report and review. Am J Med 1997;102(3):297-301.
Marx GE, Chan ED. Tuberculous meningitis: diagnosis and treatment overview. Tuber Rest Treat 2011; :798764.
Price RW, Worley JM. Management of neurological complications of HIV-1 infection and AIDS. In: Sande MA, Volpering Pa, editors. The medical management of AIDS. Philadelphia: W.B. Saunders 1995:261-88.
Timothy K, Blackmore, Laurence M. Et al. Therapeutic use of infliximab in tuberculosis to control severe paradoxical reaction of the brain and lymph nodes. Oxford J 2008.;47(10):83-5.