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Anhelation due to formation of tuberculomas at the medulla oblongata during chemotherapy of tuberculous meningitis
Affiliations- 1 Bethune Hospital of Jilin University, Changchun, China
- Changchun Children Hospital, Changchun, China
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Abstract
Formation of tuberculoma is a rare response of neurotuberculosis in patients regularly and adequately treated with anti-tuberculous drugs. We report a 13-year-old girl with two tuberculomas which formed in the dorsal part of the medulla oblongata during chemotherapy for tuberculous meningitis. The tuberculomas were both removed via a suboccipital midline approach and were demonstrated by pathological findings but the girl died of cardiac arrest that was thought to be caused by postoperative medulla oblongata oedema. In combination with a literature review, we discuss the clinical features and treatment options of brainstem tuberculomas.
Abstract
Formation of tuberculoma is a rare response of neurotuberculosis in patients regularly and adequately treated with anti-tuberculous drugs. We report a 13-year-old girl with two tuberculomas which formed in the dorsal part of the medulla oblongata during chemotherapy for tuberculous meningitis. The tuberculomas were both removed via a suboccipital midline approach and were demonstrated by pathological findings but the girl died of cardiac arrest that was thought to be caused by postoperative medulla oblongata oedema. In combination with a literature review, we discuss the clinical features and treatment options of brainstem tuberculomas.
Keywords
neurotuberculosis, formation of tuberculoma, medulla oblongata
About this articleTitle
Anhelation due to formation of tuberculomas at the medulla oblongata during chemotherapy of tuberculous meningitis
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
501-505
Page views
230
Article views/downloads
470
DOI
10.5114/ninp.2012.31363
Bibliographic record
Neurol Neurochir Pol 2012;46(5):501-505.
Keywords
neurotuberculosis
formation of tuberculoma
medulla oblongata
Authors
Pengfei Ge
Xiaojie Zhang
Yangping Zhong
Xinchao Bian
Shuanglin Fu
Yinan Luo
