An unusual presentation of neurotuberculosis: subdural empyema. Case report.

Abstract:

:Tuberculosis continues to be a major public health concern, especially in developing countries. Many types of neurotuberculosis have been described, but there is only one previously reported case of subdural empyema caused by tuberculous bacilli. A 1-year-old boy who had been treated for pulmonary tuberculosis was referred to the authors' institution with a diagnosis of right frontoparietal extraaxial abscess formation. Computerized tomography and magnetic resonance imaging revealed an extraaxial abscess with no evidence of calvarial infection. A craniotomy was performed to drain the pus, which was located subdurally. A polymerase chain reaction test yielded positive results, and histopathological examination revealed caseation. Antituberculous treatment was started after a diagnosis of subdural empyema with related neurotuberculosis had been made. At the end of a 12-month course of medical therapy, the patient was well with no evidence of tuberculosis.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Cayli SR,Onal C,Koçak A,Onmuş SH,Tekiner A

doi

10.3171/jns.2001.94.6.0988

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

988-91

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

94

pub_type

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