Intracranial tuberculoma and the challenges of global neurosurgery

Author:

Roy Holly A, ,Cascini Natasha,Ajay Bini,Mukherjee SudiptaORCID,McGavin Lucy,Inman Alice,Wilkinson Robert,Whitfield Peter CORCID, , , , , ,

Abstract

In a world of increasing globalisation, Neurosurgeons need to be able to diagnose and treat neurosurgical conditions which may not be common to the local population. To illustrate this, we describe the case of an intracranial tuberculoma presenting in the post-partum period. Tuberculosis (TB) is a widely recognised mimic of other conditions, including high grade gliomas, which can result in diagnostic delays. We highlight clinical features that should increase the index of suspicion for TB and create a low threshold for trial of empirical treatment. We also discuss educational partnership strategies that may help facilitate global perspectives in neurosurgical training.

Publisher

Whitehouse Publishing

Reference11 articles.

1. 1. Hargreaves S, Rustage K, Nellums LB, Powis J, Milburn J, Severoni S, Dara M, Puthoopparambil SJ, Friedland JS. Health Evidence Network Synthesis Report 56. What constitutes an effective and efficient package of services for the prevention, diagnosis, treatment and care of tuberculosis among refugees and migrants in the WHO European Region? Themed issues on migration and health, VII. World Health Organization, Europe.

2. 2. World Health Organisation Tuberculosis Factsheet found at: https://www.who.int/news-room/fact-sheets/detail/tuberculosis.

3. 3. Thwaites G, Fisher M, Hemingway C, Scott G, Solomon T, Innes J. British Infection Society guidelines for the diagnosis and treatment of tuberculosis of the central nervous system in adults and children. Journal of Infection 2009;59:167-87. https://doi.org/10.1016/j.jinf.2009.06.011

4. 4. Wilkinson RJ, Rohlwink U, Misra UK, van Crevel R, Mai NTH, Dooley KE, Caws M, Figaji A, Savic R, Solomons R, Thwaites GE. Tuberculous meningitis. Nature Reviews Neurology 2017;13:581-98. https://doi.org/10.1038/nrneurol.2017.120

5. 5. Kalk E, et al. Safety and Effectiveness of Isoniazid Preventive Therapy in HIV-Positive Pregnant Women on Art: An Observational Study using Linked Population Data. Clinical infectious diseases: an official publication of the Infectious Disease of America. https://doi.org/10.1093/cid/ciz1224

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