Clinical and radiographic findings in disseminated tuberculosis of the brain.

Abstract

We report clinical and radiographic findings in a patient with disseminated tuberculosis (TB) of the brain. A Burmese man developed a left hemiparesis and mild cognitive difficulty 1 month into therapy for miliary TB. A head MRI showed numerous (> 100) contrast-enhancing supratentorial and infratentorial lesions. Following 9 months of treatment with isoniazid, ethambutol, rifampin, and pyrazinamide, most lesions resolved; however, one cortical tuberculoma enlarged significantly. The patient was continued on isoniazid and rifampin, with radiographic resolution of the tuberculoma 4 months later.

• Authors: F F Eide, A D Gean, Y T So
• Journal: Neurology (Neurology) Vol. 43 Issue 7 Pg. 1427-9 (Jul 1993) ISSN: 0028-3878 [Print] United States
• PMID: 8018121 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Brain Diseases (diagnostic imaging, microbiology, pathology)
• Humans
• Magnetic Resonance Imaging
• Male
• Tomography, X-Ray Computed
• Tuberculosis, Miliary (diagnostic imaging, pathology)