Abstract

Introduction: Intracranial tuberculomas are granulomatous lesions that can occur in approximately 1% of the patients with active tuberculosis (TB). Although it is an uncommon disease, it usually causes severe neurological deficits, including altered mental status, hydrocephalus,

Highlights

  • Intracranial tuberculomas are granulomatous lesions that can occur in approximately 1% of the patients with active tuberculosis (TB)

  • Tuberculosis (TB), an infectious illness caused by Mycobacterium tuberculosis, is one of the oldest known human diseases, but it still has a major impact on health services in underdeveloped, developing, and even developed countries

  • Central nervous system (CNS) involvement represents 5–10% of extra pulmonary TB cases worldwide, with great potential lethality [3]. It can be classified in three categories: tuberculous meningitis, intracranial tuberculoma, and tuberculous spinal arachnoiditis [4]

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Summary

INTRODUCTION

Tuberculosis (TB), an infectious illness caused by Mycobacterium tuberculosis, is one of the oldest known human diseases, but it still has a major impact on health services in underdeveloped, developing, and even developed countries. Central nervous system (CNS) involvement represents 5–10% of extra pulmonary TB cases worldwide, with great potential lethality [3] It can be classified in three categories: tuberculous meningitis, intracranial tuberculoma, and tuberculous spinal arachnoiditis [4]. It may occur primarily or secondarily to intracranial or vertebral infection and often involves the spinal cord, meninges, and nerve roots, different from other types of arachnoiditis [10] It is an uncommon disease, CNS TB usually causes severe neurological deficits, including altered mental status, hydrocephalus, cranial nerve palsy, hemiparesis, and seizures [11]. In January 2017, the patient had seizures despite the use of anticonvulsant drugs, and the doses of these medications were increased She remained stable until May 2017, when she felt dizzy, experienced loss of balance, and had headaches.

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