Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1997-6-5
pubmed:abstractText
We document the clinical presentation, management and outcome of histologically verified, solitary, intrinsic brain stem tuberculomas in six patients. The neurological symptoms and signs in these patients did not distinguish their lesions from other intrinsic masses of the brain stem. On contrast-enhanced computed tomography (CT), the tuberculomas appeared as ring enhancing lesions in three patients and nodular contrast enhancing lesions in the other three. Diagnosis was established on the basis of CT-guided stereotactic biopsy in all patients. All patients were treated with antituberculous drugs for 18 months. Steroid therapy of 2-8 weeks duration was also used in four patients. At a median follow-up period of 20 months (range 9-51 months), three patients were asymptomatic and the other three were functioning independently with mild disability. Although isolated, intrinsic brain stem tuberculoma is an uncommon entity, it should be suspected in patients presenting with features of an intrinsic brain stem mass and a contrast-enhancing lesion on CT. CT-guided stereotactic biopsy usually provides evidence of the inflammatory nature of the mass although an aetiological diagnosis is often elusive. Early diagnosis and appropriate therapy with antituberculous drugs and steroids usually results in an excellent or good outcome in most instances.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0268-8697
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
127-33
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
Tuberculomas presenting as isolated intrinsic brain stem masses.
pubmed:affiliation
Department of Neurological Sciences, Christian Medical College and Hospital, Vellore, India. abraham@cmc.ernet.in
pubmed:publicationType
Journal Article