open access

Vol 46, No 2 (2012)
OPIS PRZYPADKU
Submitted: 2011-02-01
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Large cerebellopontine angle tuberculoma: a case report

Raziul Haque, Forhad Hossain Chowdhury, Shafiqul Islam, Asit Chandra Sarker, Momtazul Hoque
DOI: 10.5114/ninp.2012.28267
·
Neurol Neurochir Pol 2012;46(2):196-199.

open access

Vol 46, No 2 (2012)
OPIS PRZYPADKU
Submitted: 2011-02-01

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.

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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Keywords

cerebellopontine angle, tuberculoma, status epilepticus, hemiparesis, hearing loss, cortical atrophy

About this article
Title

Large cerebellopontine angle tuberculoma: a case report

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 46, No 2 (2012)

Pages

196-199

DOI

10.5114/ninp.2012.28267

Bibliographic record

Neurol Neurochir Pol 2012;46(2):196-199.

Keywords

cerebellopontine angle
tuberculoma
status epilepticus
hemiparesis
hearing loss
cortical atrophy

Authors

Raziul Haque
Forhad Hossain Chowdhury
Shafiqul Islam
Asit Chandra Sarker
Momtazul Hoque

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