RARE PRESENTATION OF EXTRA PULMONARY TB AS MULTIPLE INTRA CRANIAL TUBERCULOMAS- A CASE REPORT

Author:

Tabassum M.Azra1,Ahamad Basha Nisar1,Devi M. Rama2

Affiliation:

1. Post graduate in general medicine Sri Venkateswara Medical College, Tirupathi, Andhra Pradesh

2. M.D, Assistant Professor, Department of General Medicine Sri Venkateswara Medical College, Tirupathi, Andhra Pradesh.

Abstract

TB of CNS is an uncommon yet highly devastating manifestation of TB. It has a hematogenous spread manifesting as meningitis, cerebritis,TB abscess, Tuberculomas and spinal arachnoiditis. We are reporting a case of 26yr old female person presented with short duration of headache, vomiting, neck pain and altered sensorium .Examination revealed left eye Ptosis and right sided classical hemiplegia . Investigations revealed multiple intracranial tuberculomas in MRI brain and feautures suggestive of miliary TB on CTchest . Multiple tuberculomas are rare presentation of intracranial TB and prognosis is poor in patients with multiple tuberculomas . But in our case clinical improvement is observed with Anti Tubercular Therapy

Publisher

World Wide Journals

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