InfectionRole of stereotactic aspiration in the management of tuberculous brain abscess
Section snippets
Case 1
This 25-year-old male was diagnosed to have pulmonary tuberculosis, and was on ATT (rifampicin, isoniazid, pyrazinamide) for 7 months before admission. He presented with progressive right hemiparesis of 5 months’ and headache of 15 days’ duration. General physical examination was unremarkable. Neurologic evaluation revealed bilateral papilledema and right spastic hemiparesis. Routine hematological examination was normal. Cranial CT scan revealed a multiloculated lesion with central hypodensity
Discussion
Even in countries where tuberculosis is endemic, tuberculous brain abscesses are rare. Arseni, in his analysis of 201 cases of intracranial tuberculomas, detected one case of tuberculous abscess [1]. Sinh (1968) encountered 3 cases of intracranial tuberculous abscesses in his series of 70 tuberculomas in India [18]. Whitener (1978), using strict criteria, could collect only 16 cases from the literature. His criteria included: (a) macroscopic evidence of abscess formation within the brain
Acknowledgements
The authors thank Dr. A. Chandramukhi, Professor & Head, Department of Neuromicrobiology, National Institute Of Mental Health and Neutrosciences, Bangalore, India for her suggestions in preparation of the manuscript.
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