ABSTRACT
Cerebral miliary tuberculosis is a rare and serious disease due to the hematogenic spread of bacillus tuberculous. It occurs more often in a debility context. Stereotaxic biopsy allows to establish the final diagnosis. But, in most of the cases it is presumptive based on clinical and biological features, and the regression of symptoms under anti tuberculosis treatment, of which depends the vital prognosis. We report the case of an immunocompetent patient, smoker who presented with cerebral military.
La miliaire tuberculeuse cérébrale est une affection rare et grave due à la dissémination hématogène des bacilles tuberculeux. Elle survient le plus souvent sur un terrain de débilité. La biopsie stéréotaxique permet d'établir le diagnostic définitif. Mais dans la plus part des cas il est présomptif basé sur d'éléments d'orientation clinique et biologique et la régression des signes sous traitement anti tuberculeux, dont dépend le pronostic vital. Nous rapportons le cas d'un patient immunocompétent, tabagique ayant présenté une miliaire cérébrale.
ABSTRACT
The authors report 27 cases of cerebral tumours in 22 men and 5 women age 1 to 81. Clinical symptoms were dominated by cranial hypertension (59.3%), focal motor impairment involving cranial nerves (51.9%.) and seizures due to epilepsy (44.4%). The main tumors detected with CT scan include glyoma (.5 cases), craniopharyngioma (3 cases), adenoma (3 cases), medulloblastoma (3 cases), and metastasis (3 cases). The supra tentoriel was predominant (76.9%). Neurosurgery was performed in 6 patients and 21 cases received medical treatment. We fund 13 cases of death. In conclasion, cerebral tumours are very severe pathologies because of the high mortality associated with. CT scan has contributed to diagnose the lesions, show their topography and to determinte the histological nature. Neurosurgery is necessary for the treatment of these lesions.
