Tuberculoma
From IDWiki
Background
Clinical Manifestations
- Often asymptomatic
- In CNS, may present with headache, seizures, or focal neurological deficits
Differential Diagnosis
Diagnosis
- Based on imaging, with ring-enhancing lesion with surrounding edema
- If there is uncertainty about the diagnosis, may need biopsy
Management
- Manage per primary diagnosis, with at least 6 months of standard therapy
- Dexamethasone can be considered for CNS tuberculoma with surrounding vasogenic edema and neurologic symptoms
References
- ^ Deborah J Nicolls, Mark King, David Holland, Jennifer Bala, Carlos del Rio. Intracranial tuberculomas developing while on therapy for pulmonary tuberculosis. The Lancet Infectious Diseases. 2005;5(12):795-801. doi:10.1016/s1473-3099(05)70299-1.
