Mükremin ER, Ayşe Şule ATEŞ, Osama ABUZAİNA, H. Canan HASANOĞLU

A rare case of cerebellar and lung tuberculosis coexistence which presenting intracranial mass symptoms

Tuberculosis continues to be a problem in the entire world and can be confused with other diseases, when presented extra pulmonary involvement. Cerebellar tuberculoma may present with symptoms of intracranial mass. A 53-years-old male patient was admitted with complaints of dizziness, nausea and vomiting. Cranial magnetic resonance imaging was observed mass in the posterior fossa and the patient was operated. Pathology of the lesion was reported as necrotizing granuloma. Patient diagnosed with tuberculosis meningoencephalitis and treated standard four drug anti tuberculosis regimen plus methylprednisolone. The symptoms of the patient were completely disappeared during treatment. Follow-up magnetic resonance imaging which taken 6 months after onset of the treatment shows cranial tuberculoma sequelae in the cerebellum. Central nervous system tuberculosis may be difficult to diagnose as it is an infrequent entity that can easily mimic an intracranial mass. Especially in tuberculosis endemic areas, in the patients who presenting with symptoms of intracranial lesion, tuberculosis diagnosis should be considered.

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