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Medulla oblongata tuberculoma mimicking metastasis presenting with stroke-like symptoms
Fuldem Yildirim Donmez1, Mehmet Coskun, Gulnur Guven
1Department of Radiology, Baskent University Faculty of Medicine, 46. Sokak No: 11/8, Bahcelievler, Ankara, Turkey. fuldemyildirim@yahoo.com
Abstract:
Tuberculomas are common forms of central nervous system tuberculosis, presenting as space-occupying-lesions. Brainstem tuberculomas are rare among all intracranial tuberculomas. In old patients, in the absence of tuberculosis history, diagnosis may be challenging. In this case, we present a 70-year-old patient, with bladder cancer, without known tuberculosis who presented with stroke-like symptoms, clinically. Diffusion-weighted imaging revealed no finding of stroke, however, a medulla oblongata tuberculoma, mimicking metastasis was evident on MRI.
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