Giant cerebral tuberculoma

Case contributed by Ali Almutamaiz , 25 May 2023
Diagnosis certain
Changed by Joachim Feger, 1 Sep 2023
Disclosures - updated 26 Nov 2022: 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.

AcknowledgmentsAcknowledgements: Dr.Ali Ali Shraf Al-dine & Dr.Yousif 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 &amp; Dr.Yousif Al-madani (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><em>Acknowledgements: Dr Ali Shraf Al-dine &amp; Dr Yousif Al-madani (neurosurgeon), Dr Abdulatif Magram (radiology specialist), Dr Wael Al-Absi (pathology specialist)</em></p>

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.