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Intracranial tuberculomas: diagnosis and management
1Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Acta Neurochirurgica
|January 1, 1987
Summary
This study reviews fifteen intracranial tuberculoma cases treated between 1981 and 1986. Diagnosis and management strategies, including surgery and medication, are discussed, highlighting computerized tomography's role.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Intracranial tuberculomas are a significant challenge in endemic areas.
- Diagnosis can be difficult, often requiring invasive procedures.
- Effective management combines surgical and medical approaches.
Purpose of the Study:
- To summarize experience with intracranial tuberculomas treated between 1981 and 1986.
- To discuss diagnostic challenges and outline a management plan.
- To emphasize the utility of computerized tomography (CT) in diagnosis and management.
Main Methods:
- Review of fifteen consecutive intracranial tuberculoma cases.
- Histological confirmation in twelve patients.
- Identification of acid-fast bacilli (AFB) in nine patients through culture and direct examination.
- Utilization of computerized tomography (CT) for diagnosis and management.
Main Results:
- Histological confirmation was achieved in 80% of cases (12/15).
- Acid-fast bacilli (AFB) were identified in 60% of cases (9/15).
- Computerized tomography (CT) proved valuable in diagnosis and patient management.
Conclusions:
- Intracranial tuberculomas present diagnostic difficulties.
- A combined approach of operative treatment and medical therapy is recommended.
- Computerized tomography (CT) is crucial for effective diagnosis and management of intracranial tuberculomas.