Brainstem tuberculoma mimicking glioma in a high TB-endemic region: A diagnostic challenge and epidemiological alert: a case report.
Yuebu Amu, Laluo Sha Ma, Fei Xiao et al.
✦ AI-curated · Sources linked
Case in brief
A 55-year-old male presented with progressive dizziness, gait instability, and left facial numbness. MRI revealed a 2.5 × 2.3 cm brainstem lesion with irregular rim enhancement. Initial antituberculosis therapy did not improve his condition, leading to gross total resection of the lesion. Histopathology confirmed a tuberculous granuloma, and the patient recovered well after a 12-month antituberculosis regimen.
Diagnostic / clinical pearl
In high tuberculosis-endemic regions, early etiological evaluation for brainstem lesions is crucial, even without typical systemic symptoms.
Why it matters
This case highlights the importance of considering tuberculomas in differential diagnoses for brainstem lesions, particularly in endemic areas.