Author(s)

Doumbouya Idrissa^*, Touré Mohamed Lamine, Barry Djénabou Négué, Diawara Karinka, Traoré Mohamed, Cissé Fodé Abass

Department of Neurology, University Hospital of Conakry, Conakry, Guinea.

Intraventricular haemorrhage (IVH) is an extremely rare and poorly described complication of central nervous system Tuberculosis (CNS-TB). In this study, we report the case of a 42-year-old man who presented with a weakness of the left hemibody with diffuse headache, altered consciousness associated with fever. No notion of contagion was noted. Brain computed tomography (CT) showed a hematoma in the occipital horns of the lateral ventricles with peri-lesional oedema of the right hemisphere; after injection of contrast product (CP), there were ring-shaped contrasts in the occipital horn of the lateral ventricle and the right thalamus. Angioscan showed no aneurysms or vascular anomalies. Chest X-ray showed micronodular opacities less than 1.5 cm in size in relation to miliary. Xpert MTB/RIF of sputum and cerebrospinal fluid (CSF) showed Mycobacterium tuberculosis (MT). The patient’s course was favourable under antihypertensive and antitubercular treatment. Conclusion: This case illustrates the diagnostic difficulties of CNS-TB due to the polymorphism of the clinical and radiological presentation of CNS-TB.

Intraventricular Haemorrhage, Tuberculosis, Tuberculoma

Idrissa, D. , Lamine, T. , Négué, B. , Karinka, D. , Mohamed, T. and Abass, C. (2023) Intraventricular Hemorrhage, a Rare Complication of a Cerebral Tuberculoma: Study of a Case in the Neurology Department of the University Hospital of Conakry. Case Reports in Clinical Medicine, 12, 1-8. doi: 10.4236/crcm.2023.121001.