Clinical Neuroscience

[Tuberculosis in central nervous system]

MADARAS Sándor1, SZABÓ Árpád1, KORDÁS Mariann2, SZEIFERT György2

SEPTEMBER 20, 1993

Clinical Neuroscience - 1993;46(09-10)

[Two cases with neurotuberculosis are presented. One of them is a 55-year-old woman who was admitted to the hospital with a history of two months of epileptical fits of the left limbs. Signs of elevated intracranial pressure appeared. The CT examination revealed right fronto-temporal convexity space occupying lesion with several mass effect. At operation an ,en plaque" fronto-temporal tumour was extirpated. The second case had a history of 15 months with lower-back pain. One year later it radiated to both legs combined with progressive paraparesis and urinary incontinence. Thoraco-lumbar myelography revealed severe extradural compression of the spinal cord at the level of Th XI. Following Th X-XI-XII. laminectomy extradural necrotic tumour-like lesion was removed. The histopathological examination justified specific tuberculotical granulomas at both instances. The primary tuberculotical infection was not detected in any of the cases.]

AFFILIATIONS

  1. Marosvásárhegyi Megyei Kórház, Idegsebészeti Osztály, Marosvásárhely, Románia
  2. Országos Idegsebészeti Tudományos Intézet, Budapest

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