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Central nervous system tuberculoma: a case report

P Berger1, J Larson, D Guss

  • 1Department of Emergency Medicine, University of California, San Diego Medical Center, 92103-8676, USA.

The Journal of Emergency Medicine
|September 30, 1998
PubMed
Summary
This summary is machine-generated.

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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.

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  • 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.