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Incidental MRI finding of a pons tuberculoma in a patient with so-far-undiagnosed multisystemic tuberculosis infection


Winklhofer, Sebastian; Kollias, Spyros (2012). Incidental MRI finding of a pons tuberculoma in a patient with so-far-undiagnosed multisystemic tuberculosis infection. Clinical Imaging, 36(5):623-625.

Abstract

Tuberculomas are routinely included in the differential diagnosis of newly detected intracranial lesions in patients with known systemic tuberculosis, but are rarely considered in patients without systemic disease. We report a 49-year-old patient without any neurological symptoms whose magnetic resonance imaging examination showed a lesion in the pons that was suspected of being an opportunistic, DD granulomatous lesion, which prompted further laboratory examinations revealing systemic tubercle bacillus (TB) infection. Tuberculosis should be included in the differential diagnosis of an intracranial solitary lesion even in atypical locations and in asymptomatic patients without prior diagnosis of a TB.

Abstract

Tuberculomas are routinely included in the differential diagnosis of newly detected intracranial lesions in patients with known systemic tuberculosis, but are rarely considered in patients without systemic disease. We report a 49-year-old patient without any neurological symptoms whose magnetic resonance imaging examination showed a lesion in the pons that was suspected of being an opportunistic, DD granulomatous lesion, which prompted further laboratory examinations revealing systemic tubercle bacillus (TB) infection. Tuberculosis should be included in the differential diagnosis of an intracranial solitary lesion even in atypical locations and in asymptomatic patients without prior diagnosis of a TB.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neuroradiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:September 2012
Deposited On:05 Nov 2012 16:49
Last Modified:05 Apr 2016 16:03
Publisher:Elsevier
ISSN:0899-7071
Publisher DOI:https://doi.org/10.1016/j.clinimag.2011.11.013
PubMed ID:22920377

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