Abstract
A case of cerebral tuberculoma was reported. A 36-year-old male visited our hospital because of several focal epileptic seizures in the left face in June, 1984. He had no neurological deficit. However, computerized tomography (CT) scans showed a small low density area with a high density spot in the right motor area. On April 6, 1985, he had a general epileptic seizure with loss of consciousness. He was admitted to our hospital with complaints of paresthesia in the left face and tongue on April 15, 1985. CT scans with contrast administration showed an irregular and nodular enhancement with perifocal edema in the right frontal and parietal lobe. Right carotid angiography showed no abnormal vessel or increased vascularity. On the 16th hospital day, craniotomy was made over the right parietal region for a presumed low grade astrocytoma. During the operation malignant hyperthermia occurred. We performed only external decompression because of marked brain swelling. The patient made an uneventful recovery after intravenous injection of dantrolene sodium. On the 39th hospital day a second craniotomy was made under neuroleptalalgesia. The surface of the parietal lobe was edematous and the convolutions appeared slightly distended. There was a grayish-white, elastic, hard, poorly vascularized and finger-tip-sized nodule in the subcortex. It was partially removed. Histology verified tuberculoma. Postoperative course was uneventful. The antituberculous therapy was started soon after the operation. He was in good health without neurological deficits about six months later. CT scans showed that the nodule was markedly reduced in size.
