Tuberculoma as expansive process of the cerebellopontine angle; A rare presentation

Central nervous system tubrculoma presenting as a solitary mass in an extrinsic location is rare. Many factors make the diagnosis difficult, necessitating a surgical procedure. A 24-year-old man complained of unstable gait, slurred speech and occipital headache. Examination revealed an alert individual with bilateral horizontal nystagmus, facial palsy in the left and gait ataxia. Radiological investigation showed a growing process in the left cerebellopontine angle. Partial removal of the lesion via a retromastoid sub-occipital craniotomy approach revealed tuberculoma. Antituberculous treatment led to complete resolution of symptoms. This report shows that a mass in the CP angle can closely mimic a tumour radiologically. Histophathological examination confirmed it to be tuberculoma. Awareness of this rare presentation of a solitary tuberculoma in the CP angle is emphasized

[Spinal metastases: About 70 cases]

From 70 cases of vertebral metastasis of various origins, the authors discusss the indications of the surgical treatment. The mean age of patients is 48 years old. The mole sex predominates [64.5%]. The primitive cancer is dominated by the bronchogenic carcinoma and the breast cancer. 70% patients were admitted for neurological deficiency. This reflects the delay in diagnosis and consequently in the management of this affection. The dorsal spine is the first area of localisation, with 52.6% of cases, and the lumbar spine the second one. Surgical decompression is effective in relieving neurological symptoms of spinal metastasis [44 cases]

Spontaneous hemorrhages of cerebral arteries

The authors report here 6 cases of protuberantial hematomas with a dramatic course in 5 patients. The arterial hypertension represents the greater cause, it was found to be present in 4 patients. The begining mode was sudden in all cases and the clinical picture was clearly marked by coma. The cerebral C.T. scan allowed the diagnosis, whereas the arteriography that was carred out in 2 cases was normal. No surgical management was expected. The course was marked by a mortality rate of 83%

Spontaneous cerebral rhinorrhea Case report

The cerebro-spinal rhinorrhea, even traumatic are not more a newness; however their diagnosis and their ethiopathogenesis; their diagnosis and their therapeutical management are still problems. So, it seemed to us to be well timed to report a recent case since its ethiopathogenic features take on importance

Une complicatlion inhabituelle de la derivation ventriculo-peritoneale

The authors report herein a case of [externalization] spontaneous externalization of the peritoneal catheter by anus in a girl, carrier of a ventriculo-peritoneal shunt. Withdrawal of this catheter did not appear, nor by peritonitis, nor by meningitis