Pachymeningeal en Plaque Tuberculoma in Children: A Case Report

• 作者: Alpha Boubacar Bah Ibrahima Berete Khalid Chakour Mohammed Benzagmout Mohammed Faiz Chaoui Seylan Diawara
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: TUBERCULOMA Pachymeningeal INTRACRANIAL TUBERCULOSIS MRI CT SCAN
• 年，卷（期）: xdsjwkxjzyw_2020,（1）
• 页码范围: 63-69
• 页数: 7页
• 分类号: R52

摘要

Pachymeningeal en plaque tuberculoma is a rare manifestation of tuberculosis and has a poor prognosis if not diagnosed early and treated adequately. The aim of the present paper is to collect the reported clinical and radiological signs in the literature and compare it with a personal observation to evaluate the possibility of a presumptive diagnosis. A 4-year-old boy presented at the pediatric emergency department with 7 days history of severe headache, vomiting blurred vision and had one partial seizure. His neurologic examination was notable for decreased visual acuity with bilateral papilledema and intact extra-ocular muscles. His neck was rigid. Neuroimaging revealed a multifocal dural-based mass on the fronto-parietal convexity with dense heterogeneous contrast enhancement and hydrocephalus. He has undergone a Ventriculoperitoneal shunt and surgical excision of the mass the next day. Outcome was favorable with antituberculosis therapy and corticosteroids. The clinical presentation and outcome were similar to the reported cases in the literature.