Brain tuberculoma

Overview brain tumor nodule is Mycobacterium tuberculosis infection of the central nervous system after the formation of a granuloma-like lesions. Often secondary to other parts of the body tuberculosis. After the liberation, the country launched a TB control of the masses, the people's living standards improve, At present, China's tuberculosis incidence rate has been greatly reduced, the brain tumor tuberculosis incidence rate of 1.4%. for intracranial space-occupying lesions of around 4%. Intracranial can occur in any location, at the next screen than on screen, more commonly found in children and adolescents, and the incidence rate of no significant difference. Tuberculosis clinical brain tumor at two types : 1. Body type : other organs associated with active tuberculosis, lung, lymph node or systemic miliary tuberculosis, accompanied tuberculous meningitis, a body of the poor, poor prognosis. 2. Limitations : The main clinical manifestations of seizures, intracranial hypertension symptoms, the results of surgical treatment better. A clinical performance. General types : (a) hemoptysis, cough, fever, night sweating, weight loss and other signs of tuberculosis. (2) with bone and joint tuberculosis, chest and neck lymph nodes and other chronic septic leakage performance or the performance of tuberculous meningitis. (3) The signs of increased intracranial pressure and cerebellar dysfunction symptoms : patients are headache, vomiting and palilledema. Limitations of brain damage symptoms, nystagmus, ataxia, and other physical performance. 2. Limitations : (1) performance low heat, night sweating, weight loss, tuberculosis fast ESR signs. (2) intracranial hypertension symptoms and the symptoms of brain damage limitation, the performance headache, vomiting and palilledema, hemiplegia, aphasia, epilepsy, cerebellar damage symptoms such as nystagmus, limb ataxia. A diagnosis. History of chronic weight loss, fever, night sweat, general malnutrition, hemoptysis, cough and other symptoms of headache, vomiting, blurred version, the side limb weakness and slurring in speech, unsteady gait and performance such as epilepsy. 2. CARICOM investigation and eyesight and vision changes or retinal edema hemiplegia, unilateral sensory dysfunction, cerebellar signs and aphasia. 3. Check other parts of the body have tuberculosis, as X-ray chest said tuberculosis, bone and joint tuberculosis. 4. ESR accelerate. 5. Lumbar puncture, generally, often measuring pressure increased pressure check CSF leukocyte count and protein, Quantitative laced sugar, protein showed an increase in the volume of cells increased to mononucleosis mainly sugar content decreased. 6. Skull X-ray, in addition to signs of increased intracranial pressure, occasionally tuberculoma calcification. 7. CT scan and magnetic resonance imaging, shows that the size of lesions. A drug. Tuberculosis drug use joint or separate treatment of tuberculosis. 2. Including increased intracranial pressure, the use of drugs to lower intracranial pressure (such as furosemide, mannitol). 3. Dexamethasone principles not as severe intracranial hypertension may use discretion. 4. Surgical treatment, both before and after anti-tuberculosis treatment. 5. The use of antiepileptic drugs for treatment or prevention of epilepsy (such as phenytoin, carbamazepine). 6. Systemic therapy and a support. General types : first anti-tuberculosis drug treatment. 2. Limitations : resection of intracranial disease. 3. 1-2 weeks preoperative and postoperative treatment with anti-tuberculosis drugs 3-6 months. An auxiliary inspection. Suspected of the disease localized to check ad hoc mainly to the basic checks. CT scanning can clear lesions, quantity, size, etc., to provide a basis for the surgical treatment. 2. Body type, should know whether there were other tuberculosis, viable chest radiograph inspection, major abdominal ultrasound screening. 3. Empanel necessary MRI. 4. If no CT or MRI. choice of brain SPECT examination or ultrasound examination or cerebral angiography, angiography can be located.