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Vol. 6. Núm. 4.
Páginas 319-321 (enero 1994)
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Vol. 6. Núm. 4.
Páginas 319-321 (enero 1994)
Tuberculoma cerebral. A propósito de un caso
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2306
E. Cardona, J. Molet, B. Oliver, P. Parés, P. Tresserras, F. Bartumeus
Servicio de Neurocirugía. Hospital de la Santa Creu i Sant Pau. Universidad Autónoma de Barcelona. Barcelona
N. Ortiz*
* Servicio de Neurología. Hospital de Sant loan de Reus. Reus (Tarragona)
Este artículo ha recibido
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Resumen

Presentamos el caso de una paciente de 48 años de edad, con una lesión expansiva de carácter infiltrativo a nivel fronto-parietal izquierdo y clínica focal de 5 meses de evolución. El estudio neurorradiológico evidenciaba una lesión expansiva con efecto de masa y captación irregular de contraste sugestiva de metástasis o glioma cerebral a nivel rolándico izquierdo. Se intervino quirúrgicamente consiguiéndose la resección total de la lesión. El estudio anatomopatológico objetivó la existencia de zonas de necrosis caseosa y permitió visualizar formas de BK en varios cortes. Consideramos de interés el caso, dada la escasa incidencia de tuberculomas cerebrales y la atípica forma de presentación.

Summary

We present a 48-year-old female with an infiltrative lesion in the left premotor area. She presented a progressive right side hemiparesis, particularly in the upper extremity and aphasia of 5 months’ duration.

CT and MRI showed an expansive lesion with mass effect in the left frontal area with irregular contrast enhancement, suggesting a metastasis or brain glioma.

Total removal of the lesion was achieved in surgery.

Pathological examination demonstrated a caseum and Koch bacillus (KB) and a tuberculoma was diagnosed.

Brain tuberculomas are very rare nowadays and the clinical presentation of this case was also atypical.

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