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Three patients with intracranial tuberculomas with unusual features
Summary
Intracranial tuberculomas present variably, complicating diagnosis. Early suspicion in non-European immigrants is crucial for timely identification and treatment of these brain infections.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Intracranial tuberculomas are rare but serious infections.
- Diagnosis can be challenging due to nonspecific clinical and radiological findings.
Purpose of the Study:
- To report three cases of intracranial tuberculomas.
- To highlight diagnostic challenges and emphasize the importance of clinical suspicion.
Main Methods:
- Case series reporting clinical presentations, diagnostic workup, and treatment outcomes.
- Review of medical records and imaging findings.
Main Results:
- One patient presented with hydrocephalus mimicking migraine.
- Another patient developed a tuberculoma during antituberculous therapy.
- A third patient experienced a diabetic pre-coma post-surgery.
Conclusions:
- Intracranial tuberculomas lack pathognomonic features.
- A high index of suspicion is vital, especially in non-European immigrant populations.
- Prompt diagnosis and treatment are essential for favorable outcomes.