Giant cerebral tuberculoma

Case contributed by Ali Almutamaiz , 25 May 2023
Diagnosis certain
Changed by Ali Almutamaiz, 29 Aug 2023
Disclosures - updated 31 Mar 2023: Nothing to disclose

Updates to Case Attributes

Body was changed:

A large mass lesion in the left cerebral hemisphere with marked adjacent vasogenic oedema simulates a tumoural mass. The thin, regular peripheral wall enhancement generally argues against a tumour, favouring infection. Calcification can be seen in both tumours and infectious lesions.

Tuberculomas (confirmed pathologically) are usually smaller but can be this large.

Acknowledgments: Dr.Ali Shraf Al-dine & Dr.yousif Al-madani (neurosurgeon), Dr. Abdulatif Magram (radiology specialist), Dr. Wael Al-Absi (pathology specialist).

  • -<p>A large mass lesion in the left cerebral hemisphere with marked adjacent vasogenic oedema simulates a tumoural mass. The thin, regular peripheral wall enhancement generally argues against a tumour, favouring infection. Calcification can be seen in both tumours and infectious lesions.</p><p><a href="/articles/tuberculoma" title="Tuberculomas">Tuberculomas</a> (confirmed pathologically) are usually smaller but can be this large.</p><p>Acknowledgments: Dr.Ali Shraf Al-dine (neurosurgeon), Dr. Abdulatif Magram (radiology specialist), Dr. Wael Al-Absi (pathology specialist).</p>
  • +<p>A large mass lesion in the left cerebral hemisphere with marked adjacent vasogenic oedema simulates a tumoural mass. The thin, regular peripheral wall enhancement generally argues against a tumour, favouring infection. Calcification can be seen in both tumours and infectious lesions.</p><p><a href="/articles/tuberculoma" title="Tuberculomas">Tuberculomas</a> (confirmed pathologically) are usually smaller but can be this large.</p><p>Acknowledgments: Dr.Ali Shraf Al-dine &amp; Dr.yousif Al-madani (neurosurgeon), Dr. Abdulatif Magram (radiology specialist), Dr. Wael Al-Absi (pathology specialist).</p>

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