[Intracerebral tuberculomas. A CT study of 14 cases]

The clinical manife stations and CT scans of 14 cases of intracerebral tuberculomas were reviewed. 9 cases were associated with tuberculous meningitis. The images of the tuberculomas on CT scans appeared to be disc-like, ring-like or irregular in shape. The irregular mass consisted of multiple discs or rings coalescing to produce such irregular contours. On the plain scans, fewer of the tuberculomas showed images of low density or isodenseimages they became clear images of high density on the enhanced scans. Of the 5 cases not associated with tuberculous meningitis, 3 had epilepsies. The experience obtained in recent years indicated that the majority of tuberculomas could decrease in size or completely reabsorbed with adequate antituberculous medications. For the treatment of intracerebral tuberulomas it was recommended to use regular doses of Isoniazid, Rifampin, Ethambutol and other antituberculous drugs in combination for one to one and half years. Surgery should be performed when necessary.