PMID: 22581604May 15, 2012Paper

Large cerebellopontine angle tuberculoma: a case report

Neurologia i neurochirurgia polska
Raziul HaqueMomtazul Haque

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.

References

Jan 1, 1991·Neuroradiology·J R Jinkins
Sep 19, 2000·Journal of Magnetic Resonance Imaging : JMRI·M H Pui
Dec 5, 2002·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Satish SathyanarayanaAnil Nanda

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