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Cerebral Tuberculoma presented as Primary Malignant Brain Tumor: A Case Report

Pravit Prachasilchai MD*

Affiliation : *Department of Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand

A 62 year–old Thai man presented symptoms of chronic progressive headache for nearly one year and left side ataxia for two weeks. MRI brain suggested a primary malignant brain tumor with moderate hydrocephalus. Total removal of the lesion was performed. The histopathological report was caseating granulomatous inflammation involving cerebellar parenchyma; suggestive of tuberculoma, PCR for M. Tuberculosis complex, using brain tissue from formalin-fixed paraffin- embeded block, yields positive result for M. Tuberculosis complex. He was treated with antituberculous drugs.

Keywords : Cerebral tuberculoma, CNSTs, Tubercular, Primary brain tumor


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