Intracranial tuberculoma and the CT scan

Umesh S. Vengsarkar M.S., M.S.(Neuro)1, Ramkrishna Prasad Pisipaty M.B.,B.S.1, Bharat Parekh M.D., D.M.R.E.1, Venilal G. Panchal M.S., M.S.(Neuro)1, and Manohar N. Shetty M.Ch.(Neuro)1
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  • 1 Department of Neurosurgery, T. N. Medical College and B. Y. L. Nair Ch. Hospital, Bombay, India
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✓ Computerized tomography (CT) has greatly influenced the diagnosis and management of intracranial tuberculomas and has helped us to formulate guidelines for the management of these lesions. Solid and ringenhancing lesions seen on CT scans are diagnostic of tuberculoma if supported by other clinical and ancillary criteria. Conservative management of intracranial tuberculoma is usually indicated because serial CT scans have shown complete disappearance of these lesions with antituberculous therapy. Only lesions associated with raised intracranial pressure and CT evidence of a mass effect should be considered for surgery. Nonresponse to antituberculous therapy, as judged by serial CT scanning, should raise doubts regarding the diagnosis of a tuberculomatous lesion, and therefore such lesions should be subjected to surgery and histopathological confirmation. Representative clinical cases illustrating the principles of diagnosis and management of intracranial tuberculoma with the help of CT scanning are briefly described and discussed.

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Contributor Notes

Address reprint requests to: Umesh S. Vengsarkar, M.S., M.S.(Neuro), Department of Neurosurgery, Topiwala National Medical College and B. Y. L. Nair Charitable Hospital, Dr. A. L. Nair Road, Bombay 400008, India.
  • 1.

    Bhargava S, & Tandon PN: Intracranial tuberculomas: a CT study. Br J Radiol 53:935945, 1980 Bhargava S, Tandon PN: Intracranial tuberculomas: a CT study. Br J Radiol 53:935–945, 1980

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    • Export Citation
  • 2.

    Harriman DGF: Bacterial infections of the central nervous system, in Blackwood W, & Corsellis JAN (eds): Greenfield's Neuropathology, ed 3. London: Edward Arnold, 1976, pp 238268 Harriman DGF: Bacterial infections of the central nervous system, in Blackwood W, Corsellis JAN (eds): Greenfield's Neuropathology, ed 3. London: Edward Arnold, 1976, pp 238–268

    • Search Google Scholar
    • Export Citation
  • 3.

    Kalyanraman S: Changing Concepts in Neurotuberculosis. Continuing Medical Education Programme. Madras: Neurological Society of India, 1983, pp 711 Kalyanraman S: Changing Concepts in Neurotuberculosis. Continuing Medical Education Programme. Madras: Neurological Society of India, 1983, pp 7–11

    • Search Google Scholar
    • Export Citation
  • 4.

    Pandya SK: Conservative treatment of intracranial tuberculomas. Neurol India 30:3036, 1982 Pandya SK: Conservative treatment of intracranial tuberculomas. Neurol India 30:30–36, 1982

    • Search Google Scholar
    • Export Citation
  • 5.

    Ramamurthy B, & Tandon PN: Textbook of Neurosurgery. New Delhi: Book Trust of India, 1980, pp 437453 Ramamurthy B, Tandon PN: Textbook of Neurosurgery. New Delhi: Book Trust of India, 1980, pp 437–453

    • Search Google Scholar
    • Export Citation
  • 6.

    Valentine AR, & Pullicino P, Bannan E: A Practical Introduction to Cranial CT. London: William Heinemann, 1981, pp 6364 Valentine AR, Pullicino P, Bannan E: A Practical Introduction to Cranial CT. London: William Heinemann, 1981, pp 63–64

    • Search Google Scholar
    • Export Citation
  • 7.

    Weisberg L, , Nice C, & Katz M: Cerebral Computed Tomography. A Text-Atlas, ed 2. Philadelphia: WB Saunders, 1984, pp 239248 Weisberg L, Nice C, Katz M: Cerebral Computed Tomography. A Text-Atlas, ed 2. Philadelphia: WB Saunders, 1984, pp 239–248

    • Search Google Scholar
    • Export Citation
  • 8.

    Welchman JM: Computerised tomography of intracranial tuberculomata. Clin Radiol 30:567573, 1979 Welchman JM: Computerised tomography of intracranial tuberculomata. Clin Radiol 30:567–573, 1979

    • Search Google Scholar
    • Export Citation
  • 9.

    Whelan MA, & Stern J: Intracranial tuberculoma. Radiology 138:7581, 1981 Whelan MA, Stern J: Intracranial tuberculoma. Radiology 138:75–81, 1981

    • Search Google Scholar
    • Export Citation

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