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Intraventricular tuberculous abscess: a case report.

G V Vajramani1, B I Devi, T Hegde

  • 1Departments of Neurosurgery, Neuropathology, Microbiology and Neuroradiology, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.

Neurology India
|January 8, 2000
PubMed
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Intraventricular tubercular abscess, a rare form of neurotuberculosis, was successfully treated in a young woman. Surgical removal of the abscess led to a full recovery.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Neurotuberculosis encompasses diverse ventricular involvements.
  • Intraventricular tubercular abscesses are exceptionally rare clinical presentations.

Observation:

  • A young woman presented with symptoms indicative of a brain lesion.
  • Cranial computed tomography revealed a hypodense, ring-enhancing lesion within the right lateral ventricle.
  • Unilateral hydrocephalus was also noted on imaging.

Findings:

  • The patient underwent a parasagittal craniotomy for lesion excision.
  • Pus aspirated from the lesion was found to contain abundant acid-fast bacilli.
  • Histopathological analysis confirmed the tubercular etiology of the abscess.

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Implications:

  • This case highlights the importance of considering neurotuberculosis in the differential diagnosis of intraventricular lesions.
  • Complete surgical excision is a viable treatment option for intraventricular tubercular abscesses.
  • Early diagnosis and intervention can lead to favorable patient outcomes in rare neurotuberculosis presentations.