IJSR - International Journal of Scientific Research

Dr. Mithun Chandra Konar; Dr. Taraknath Ghosh

Volume : V, Issue : XI, November - 2016

Tuberculoma of Cavernous Sinus An Atypical Presentation of Neurotuberculosis with Review of Existing Literature.

Dr. Mithun Chandra Konar, Dr. Taraknath Ghosh

Abstract :

Tuberculoma is one of the commonest intracranial masses, particularly so in developing countries. Occurrence of central nervous system (CNS) tuberculoma in the cavernous sinus area is extremely rare. Even, the diagnosis of the condition is very challenging as the presentations are often misleading and mimic that of some intracranial tumors, thus often requires a neurosurgical procedure. Only sixteen cases have been reported in previous literature, of which two cases presented in pediatric age group. Here we report the third pediatric case of cavernous sinus tuberculoma. A four year old boy presented with progressive cavernous sinus syndrome without any history of exposure to tuberculosis. Laboratory results were nonspecific with normal chest radiography. His cervical lymph node biopsy showed caseating granuloma, rapid bacteriological confirmation was possible and was treated successfully. Although the diagnosis of the condition is very difficult, careful search for extracranial sites of the disease in can lead to early histopathological confirmation and better outcome.