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Ulnar nerve tuberculoma
V V Ramesh Chandra1, Bodapati Chandramowliswara Prasad, Gangumolu Varaprasad
1Department of Neurosurgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India. rcvv@in.com
Journal of Neurosurgery. Pediatrics
|October 23, 2012
Summary
A rare tuberculoma affecting the ulnar nerve in a child caused nerve palsy. Surgical removal and antitubercular treatment led to significant improvement, highlighting this unusual presentation of tuberculosis.
Area of Science:
- Neurology
- Infectious Diseases
- Oncology
Background:
- Tuberculoma, a rare manifestation of tuberculosis, typically affects the central nervous system.
- Peripheral nerve involvement by tuberculoma is exceptionally uncommon.
Observation:
- A 7-year-old girl presented with ulnar nerve palsy and a forearm mass after trauma and TB exposure.
- Clinical signs included paresthesias and claw hand deformity.
- Surgical exploration revealed a caseous tuberculoma compressing the ulnar nerve.
Findings:
- Histopathology confirmed tuberculoma of the ulnar nerve.
- Subtotal surgical removal of the lesion was performed.
- The patient received antitubercular therapy post-surgery.
Implications:
- This case expands the known spectrum of tuberculoma presentation.
- Highlights the importance of considering tuberculosis in peripheral nerve lesions, even without systemic signs.
- Successful management involves a combination of surgical intervention and appropriate antitubercular treatment.
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