Neurological Surgery No Shinkei Geka Volume 44, Issue 8 (August 2016)

A Surgical Case of Tuberculoma with Visual Disturbance Takashi FUJII 1 , Naoki OTANI 1 , Yohei OTSUKA 1 , Takashi MATSUMOTO 1 , Shunsuke TANOUE 1 , Hideaki UENO 1 , Satoshi TOMURA 1 , Arata TOMIYAMA 1 , Terushige TOYOOKA 1 , Kojiro WADA 1 , Kentaro MORI 1 1Department of Neurosurgery, National Defense Medical College Keyword: tuberculoma , visual disturbance pp.679-684
Published Date 2016/8/10
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 We herein report a surgical case of multiple cerebral calculi located within the chiasmatic cistern resulting in visual disturbance. A 61-year-old man experienced homonymous lower right quadrantanopsia a few years prior. Non-enhanced head CT revealed multiple calcified lesions of about 7-mm within the basal cistern. MRI showed the lesion compressing the left optic tract. We could not remove the entire lesion because of severe adhesion to the optic tract. A pathological test showed calcified lesions with lymphocyte infiltration. We diagnosed tuberculoma caused by tuberculous meningitis with degeneration of the calcified lesion because of a history of tuberculosis at a fetal age. After the surgery, the patient was discharged without improvement of the visual disturbance.

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Neurological Surgery 脳神経外科
44巻8号 (2016年8月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院