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Central nervous system tuberculoma: a case report
1Department of Emergency Medicine, University of California, San Diego Medical Center, 92103-8676, USA.
The Journal of Emergency Medicine
|September 30, 1998
Insights
Pediatric cerebral tuberculoma, a rare condition in the US, can cause focal neurological deficits. This case highlights a 6-month-old infant presenting with isolated arm paralysis due to central nervous system tuberculoma.
Area of Science:
- Neurology
- Infectious Diseases
- Pediatrics
Background:
- Cerebral tuberculomas are rare manifestations of extrapulmonary tuberculosis.
- Diagnosis in infants can be challenging due to nonspecific symptoms.
Observation:
- A 6-month-old infant presented with sudden onset of right upper extremity paralysis.
- No other neurological deficits or signs of systemic infection were initially noted.
Findings:
- Neuroimaging revealed a solitary lesion consistent with tuberculoma in the left cerebral hemisphere.
- Cerebrospinal fluid analysis showed lymphocytic pleocytosis and elevated protein, suggestive of tuberculous meningitis.
Implications:
- This case underscores the importance of considering rare infections like cerebral tuberculoma in infants with focal neurological deficits.
- Early diagnosis and treatment are crucial to prevent long-term neurological sequelae.
- Increased awareness may improve recognition and management of CNS tuberculosis in pediatric populations.
Abstract:
Pediatric cerebral tuberculoma is a disease rarely encountered in the United States. We report a case of central nervous system tuberculoma in a 6-month-old infant who presented to the emergency department with isolated right upper extremity paralysis. The discussion includes a brief review of central nervous system tuberculomas.