Tuberculous brain abscess and its appearance on computerized tomography

Case report

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✓ A case of tuberculous brain abscess in a 52-year-old woman is presented. The computerized tomographic (CT) scan demonstrated a multilocular space-occupying lesion in the right parietal area, surrounded by a thick hyperdense enhancing rim. It is suggested that a relatively long clinical history together with the appearance of a thick-walled abscess-like lesion on the CT scan may indicate the diagnosis of a tuberculous brain abscess.

Article Information

Address reprint requests to: Eli Reichenthal, M.D., Department of Neurosurgery, Beilinson Medical Center, Petah Tiqva, Israel.

© AANS, except where prohibited by US copyright law.

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    Computerized tomography scans on the day of admission, before (left) and after (right) contrast infusion. A multiloculated thick-walled lesion is visualized in the right parietal lobe, with considerable surrounding edema.

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    Left: Photomicrograph of the excised abscess showing the fibrous abscess wall on the left side densely infiltrated by inflammatory cells. A typical tuberculous granuloma is seen below. H & E, × 80. Right: A higher magnification of a portion of the abscess wall showing marked vascularity, gliosis, and infiltration with inflammatory cells including nests of polymorphonuclear cells. H & E, × 150.

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