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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1998-8-20
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pubmed:abstractText |
Brainstem tuberculoma is exceptionally observed. We report a 44 year-old immunocompetent man with proven diagnosis of miliary tuberculosis (TBC) who developed a complex neurological syndrome characterized by right ophtalmoplegia, left-sided hemiparesis and hemihypoesthesia and a gross ipsilateral postural and action tremor with hand dystonia. A ponto-mesencephalic mass was detected by CT and MRI studies of the brain. Clinical, bacteriological and neuroimaging studies allowed to suspect a ponto-mesencephalic tuberculoma. Long-term therapy with anti-TBC drugs and steroids was started, achieving clinical and imaging improvement which retrospectively confirmed the diagnosis. Although with less amplitude, tremor persisted but a complete disappearance of focal dystonia was observed. The pathogenesis of both abnormal movements is particularly discussed since hand dystonia has never been mentioned in the literature as a consequence of brainstem damage.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0213-4853
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
250-3
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9646632-Adult,
pubmed-meshheading:9646632-Anti-Inflammatory Agents,
pubmed-meshheading:9646632-Antitubercular Agents,
pubmed-meshheading:9646632-Brain Stem,
pubmed-meshheading:9646632-Dystonia,
pubmed-meshheading:9646632-Humans,
pubmed-meshheading:9646632-Magnetic Resonance Imaging,
pubmed-meshheading:9646632-Male,
pubmed-meshheading:9646632-Steroids,
pubmed-meshheading:9646632-Tremor,
pubmed-meshheading:9646632-Tuberculoma,
pubmed-meshheading:9646632-Tuberculosis, Miliary
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pubmed:year |
1998
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pubmed:articleTitle |
[Focal dystonia and tremor secondary to brain stem tuberculoma].
|
pubmed:affiliation |
División de Clínica Médica B y Unidad de Neurología, Hospital Juan A. Fernández, Buenos Aires, Argentina.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|