Abstract
Tuberculoma is not an uncommon lesion in intracranial space specially in developing world but tuberculoma in the cavernous sinus is very rare, and only less than ten cases have been reported in the literature, till today. Preoperative neuro-radiological features of such lesions may mimic neoplastic lesions of skull base and brain and post operative histopathological study brings the ultimate diagnosis. Here we report a rare case of cavernous sinus tuberculoma where tuberculomas were also in temporal lobe and Basal subarachnoid spaces (Right cavernous sinus, left temporal lobe, right sylvian fissure, basal cistern, interpeduncular cistern and prepontine cistern). DOI: http://dx.doi.org/10.3329/jom.v13i1.10056 JOM 2012; 13(1): 75-76 Tuberculoma is not an uncommon lesion in intracranial space specially in developing world but tuberculoma in the cavernous sinus is very rare, and only less than ten cases have been reported in the literature, till today. Preoperative neuro-radiological features of such lesions may mimic neoplastic lesions of skull base and brain and post operative histopathological study brings the ultimate diagnosis. Here we report a rare case of cavernous sinus tuberculoma where tuberculomas were also in temporal lobe and Basal subarachnoid spaces (Right cavernous sinus, left temporal lobe, right sylvian fissure, basal cistern, interpeduncular cistern and prepontine cistern). DOI: http://dx.doi.org/10.3329/jom.v13i1.10056 JOM 2012; 13(1): 75-76
Highlights
Intracranial tuberculomas are rather common lesions in developing world.[1]
Case Report: A 35 year male presented with headache for 1 year and right sided ptosis for 1 month
In brain and skull base lesions one must not forget the possibility of tuberculosis which is a curable disease with appropriate surgical and medical management
Summary
Intracranial tuberculomas are rather common lesions in developing world.[1]. The central nervous system (CNS) involvement comprises approximately 10–15% of all tuberculous infections.[2]. Case Report: A 35 year male presented with headache for 1 year and right sided ptosis for 1 month. He had no history of vomiting, visual disturbance, unconsciousness or convulsion. His neurological examination including fundoscopy revealed no abnormality except complete 3rd nerve palsy of right side. Contrast enhanced axial CT scan of brain showed hyperdense lesions at right cavernous sinus, right sylvian fissure, basal cistern, inter peduncular cistern, prepontine cistern and left anterior temporal lobe (Figure[1]). Fig.-1: CT scan of brain axial section (A&B) showing lesions in right cavernous sinus, basal & prepontine cistern and right & left anterior temporal lobe.
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