Intraventricular tuberculoma: A case report

O. Coulibaly, S. Diawara, K. Quénum, Y. Sogoba, M. Boutarbouch, A. Melhaoui, L. Rifi, Y. Arkha, S. Derraz, A. El Ouahabi, A. El Khamlichi

Department of Neurosurgery, CHU IbnSina, Rabat, Morocco.

DOI: 10.4236/crcm.2013.21022                

Abstract

Intracranial tuberculomas are one of the most serious formsof tuberculosis disease after meningitis tuberculosis. It incidence varies around 0.15% - 0.18% in the development world to 5% - 30% of intracranial masses in some under developments areas. These tuberculomas, of course ubiquitous, are mostly diagnosed in the adulthood and usually located in the cerebellum and the cerebral hemispheres. Intra ventricular involving is uncommon and just 10 cases had been described in the literature. We report a case of an intraventricular tuberculoma in a 26- year-old man and we discuss the pathogenesis and the radiological findings according this location.

Keywords

Intracranial Tuberculosis; Intraventricular Tuberculoma; Antituberculous Treatment

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Singh, D.K. et al., (2011) Atypical presentation of intraventricul tuberculoma. Turkish Neurosurgery, 21, 242-245.
[2]	Bhargava, S., Gupta, A.K. and Tandon, P.N. (1982) Tuberculous meningitis: A CT study. British Journal of Radiology, 55, 189-196. doi:10.1259/0007-1285-55-651-189
[3]	Hsu, P.W., Lin, T.K. and Chang, C.N. (2004) Solitaryintraventricular tuberculoma in adults. Acta Neurochirurgica, 146, 1151-1153. doi:10.1007/s00701-004-0291-7
[4]	Ramamurthi, B. and Varadarajan, M.G. (1961) Diagnosis of tuberculomas of the brain: Clinical and radiological correlation. Journal of Neurosurgery, 18, 1. doi:10.3171/jns.1961.18.1.0001
[5]	World Health Organization (2012) WHO global tuberculosis report. http://www.who.int/tb/publications/global_report/en/index.html
[6]	Berthier, M., Sierra, J. and Leiguarda, R. (1987) Intraventriculartuberculoma : Report of four cases in children. Neuroradiology, 29, 163-167. doi:10.1007/BF00327542
[7]	Desgeorges, M., Tranier, J., Mercier, P., Masselot, A. and Gendron, Y. (1977) Intraventricular cerebral tuberculoma:. A propos of a case. Annals of Internal Medicine (Paris), 128, 541-544.
[8]	Vajramani, G., Devi, B.I., Hegde, T., Santosh, V., Khanna, N. and Vasudev, M.K. (1999) Intraventricular tuberculous abscess: A case report. Neurology India, 47, 327-329.
[9]	Desai, K., Nadkarni, T., Bhatjiwale, M. and Goel, A. (2002) Intraventricular tuberculoma. Neurologia MedicoChirurgica (Tokyo), 42, 501-503. doi:10.2176/nmc.42.501
[10]	Kendall, B., Grosswasser, I.R. and Valentine, A. (1983) Diagnosis of masses presenting within the ventricules on computed tomography. Neuroradiology, 25, 11-22. doi:10.1007/BF00327474
[11]	Singh, J.P. and Chandy, M.J. (1988) Third ventricular tuberculoma: A case report. British Journal of Neurosurgery, 2, 93-96. doi:10.3109/02688698808999664
[12]	Sonmez, G., Ozturk, E., Mutlu, H., Sildiroglu, O., Haholu, A., Kutlu, A., Basekim, C. and Kizilkaya, E. (2007) An unusual intraventricular lesion: Tuberculoma. Journal of Neuroradiology, 35, 63-64. doi:10.1016/j.neurad.2007.06.008