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Large cerebral tuberculoma
1Mogadishu Somalia Turkey Training and Research Hospital Mogadishu Somalia.
Insights
A young child experienced seizures and right-sided weakness due to a large cerebral tuberculoma. Prompt diagnosis and treatment, including tuberculosis medication and surgery, led to significant improvement.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Tuberculosis (TB) can present with neurological complications, even in previously healthy children.
- Cerebral tuberculomas are rare but serious manifestations of extrapulmonary tuberculosis.
Observation:
- A previously healthy child presented with a six-month history of seizures and right-sided hemiparesis.
- Magnetic Resonance Imaging (MRI) with contrast revealed a large cerebral tuberculoma.
Findings:
- The child was diagnosed with a large cerebral tuberculoma.
- The patient showed clinical improvement following antituberculosis treatment and surgical intervention.
Implications:
- Early diagnosis and multimodal treatment (medical and surgical) are crucial for managing cerebral tuberculomas in children.
- This case highlights the importance of considering tuberculosis in the differential diagnosis of pediatric neurological disorders.
Abstract:
Here, we are presenting a young previous healthy child with seizures and right side hemiparesis for 6 months. After blood work and an MRI brain with IV contrast, it is confirmed that the child has large cerebral tuberculoma. The child is improved with TB treatment and surgery.
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