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Vol 46, No 2 (2012)

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Large cerebellopontine angle tuberculoma: a case report

Raziul Haque1, Forhad Hossain Chowdhury1, Shafiqul Islam1, Asit Chandra Sarker1, Momtazul Hoque1
DOI: 10.5114/ninp.2012.28267
Neurol Neurochir Pol 2012;46(2):196-199.

Abstract

Tuberculoma involving the cerebellopontine angle is very rare. Preoperative neuroradiological features of such lesions may mimic neoplastic lesions and postoperative histopathological study brings the ultimate diagnosis. Here we present a patient with a large tuberculoma at the cerebellopontine angle who had another small lesion at the right fronto-basal region and was managed by surgical excision of the cerebellopontine angle lesion along with post-surgical antitubercular therapy for 18 months. On the 14th postoperative day, the patient developed status epilepticus, left hemiplegia and left-sided complete hearing loss. Computed tomography showed right frontal oedema. Then he recovered his motor function slowly and incompletely but left-sided hearing loss remained unchanged. Magnetic resonance imaging of the brain at 18 months after surgery showed no residual lesion with right frontal cortical atrophy.

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Neurologia i Neurochirurgia Polska