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Cerebral tuberculoma presenting as flexion spasms.
Cristina L Martins1, José Paulo Monteiro, Sofia Sarafana
1Neuropediatric Unit, Pediatric Department, Hospital Garcia de Orta, Almada, Portugal. cristins@netcabo.pt
The Pediatric Infectious Disease Journal
|January 2, 2007
Summary
Infantile spasms in a 10-month-old girl were successfully treated with surgery and antituberculous therapy for a rare tuberculoma. The exact transmission route of Mycobacterium tuberculosis remained undetermined.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Infantile spasms are a severe epilepsy syndrome in infants.
- Tuberculoma is a rare manifestation of central nervous system tuberculosis.
Observation:
- A 10-month-old female presented with refractory infantile spasms.
- Video electroencephalography (EEG) showed focal epileptic activity.
- Magnetic resonance imaging (MRI) revealed multiple annular lesions.
Findings:
- Surgical excision confirmed tuberculoma as the cause of epilepsy.
- Antituberculous therapy led to a favorable clinical outcome.
- The mode of Mycobacterium tuberculosis transmission was unclear, with congenital and postnatal acquisition considered.
Implications:
- This case highlights tuberculoma as a treatable cause of infantile spasms.
- Early diagnosis and treatment can lead to positive neurological outcomes.
- Further research may be needed to understand Mycobacterium tuberculosis transmission in infants.
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