ABSTRACT
To present a young immunocompetent patient with a fourth ventricle tuberculoma without pulmonary tuberculosis. A previously healthy young male patient presented with a history of headache, nausea, and blurred vision. Neuroimaging revealed a mass present in the fourth ventricle. The lesion was successfully resected. Histological and microbiological findings suggested the presence of a tuberculoma. Tuberculomas can be found in the posterior fossa in adults. This infectious pathology should not be forsaken when considering the differential diagnosis for infratentorial masses.
Subject(s)
Fourth Ventricle/microbiology , Tuberculoma/diagnosis , Tuberculosis, Central Nervous System/diagnosis , Adult , Antibiotics, Antitubercular/therapeutic use , Diagnosis, Differential , Fourth Ventricle/pathology , Headache/diagnosis , Headache/drug therapy , Headache/etiology , Humans , Magnetic Resonance Imaging/methods , Male , Neuroimaging , Tuberculoma/complications , Tuberculoma/drug therapy , Tuberculoma/pathology , Tuberculosis, Central Nervous System/drug therapySubject(s)
Fourth Ventricle/pathology , Tuberculoma/pathology , Antitubercular Agents/therapeutic use , Child, Preschool , Female , Fourth Ventricle/microbiology , Humans , Magnetic Resonance Imaging , Mycobacterium/isolation & purification , Tuberculoma/diagnosis , Tuberculoma/drug therapy , Tuberculoma/microbiologyABSTRACT
Hydatid disease caused by ingestion of eggs of the cestode Echinococcus granulosus is endemic in the Middle East, Mediterranean countries, South America, North Africa and Australia.(1) Infratentorial occurrence of hydatid cyst is rare. We present a report of an extremely rare case of multiple exclusive fourth ventricular hydatid cysts, both primary and secondary, and discuss problems with the diagnosis and management of this condition.
