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[Multifocal tuberculosis with cerebellar tuberculoma]

D Frappaz1, J Huppert, M H Deleage

  • 1Unité de pédiatrie, hôpital Nord et hôpital Bellevue, St-Priest-en-Jarez, St-Etienne, France.

Pediatrie
|January 1, 1992
PubMed

Insights

A 10-year-old child with disseminated tuberculosis presented with a cerebellar mass. Surgical removal and 18 months of treatment led to a full recovery and five-year follow-up.

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Tuberculosis (TB) can present with rare neurological manifestations, even in immunized children.
  • Disseminated tuberculosis involves multiple organ systems, posing diagnostic challenges.

Observation:

  • A 10-year-old child presented with cerebellar syndrome, high fever, and vomiting.
  • CT scans revealed an intracerebellar mass, splenic abscess, and mediastinal lymphadenopathy.
  • Bone scintigraphy indicated multiple metastatic lesions.

Findings:

  • Surgical exploration identified a cerebellar tuberculoma, which was completely resected.
  • Histopathological confirmation of tuberculoma was obtained.
  • The child completed 18 months of antituberculous therapy.

Implications:

  • Early diagnosis and surgical intervention are crucial for managing cerebellar tuberculomas.
  • Aggressive antituberculous treatment is effective in achieving long-term remission.
  • This case highlights the importance of considering disseminated TB in pediatric neurological presentations.

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