Miliary Tuberculosis Involving the Central Nervous System
Journal of Korean Neurosurgical Society
;
: 2354-2359, 1996.
Article
in Korean
| WPRIM
| ID: wpr-182676
ABSTRACT
In recent times, central nervous system(CNS) tuberculosis has been rare and the prevalence of the focal form, the tuberculoma, varies from 1 per 20 to 1 per 1000. CNS tuberculosis occurs as a result of hematogenous sparead from a primary focus, mostly pulmonary tuberculosis. It can be diffuse exudative leptomeningitis or a localized tuberculoma; the former is more common. We report a case of military cerebral tuberculosis in a 24-year-old female who had been having headaches for 4 months. Magnetic resonance imaging showed numerous small round Gadolinium-enhanced supratentorial and infratentorial lesions scattered throughtout the brain. Histologic examination confirmed well-defined tuberculous granulomas with central caseous necrosis in open biopsy, containing several acid-fast bacilli, the patient was treated with isoniazid, rifampin, ethambutol, pyrazinamide in combination with prednisolone.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyrazinamide
/
Rifampin
/
Tuberculoma
/
Tuberculosis
/
Tuberculosis, Miliary
/
Tuberculosis, Pulmonary
/
Biopsy
/
Brain
/
Prednisolone
/
Magnetic Resonance Imaging
Type of study:
Prevalence study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
1996
Type:
Article
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