Diagnostic challenges in cerebral tuberculoma presenting with seizures in pregnancy

Author:

Sujithra Devi R1ORCID,Priya Sathiya1ORCID,Kumari Manoranjitha2,Ramkumar G.3,Jinkala SreeRekha4,Maurya Dilip Kumar1,Keepanasseril Anish1ORCID

Affiliation:

1. Department of Obstetrics & Gynaecology, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India, 605006

2. Department of Neurosurgery, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India, 605006

3. Department of Radio-diagnosis, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India, 605006

4. Department of Pathology, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India, 605006

Abstract

Tuberculoma is an uncommon presentation of tuberculosis and is found in regions with a high prevalence of tuberculosis. This is rarely diagnosed during pregnancy. The presentation can mimic other etiologies such as eclampsia or cerebral venous sinus thrombosis so the diagnosis can be challenging, particularly when presenting with seizures in pregnancy. Described here is a woman in her first pregnancy who presented with seizures mimicking eclampsia and was suspected to have a brain tumour on neuroimaging. She was diagnosed to have a intracerebral tuberculoma on histopathological examination following surgical decompression after delivery.

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

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