A Clinical Study of Brain Tuberculomas Based Upon 20 Case Records

J Korean Neurol Assoc > Volume 3(2); 1985 > Article

Journal of the Korean Neurological Association 1985;3(2): 241-253.

뇌결핵종 20례에 대한 임상적 고찰

이광수, 최일생

연세대학교 신경과.

A Clinical Study of Brain Tuberculomas Based Upon 20 Case Records

Kwang-Soo Lee, M.D., Il-Saeng Choi, M.D

Department of Neurology, Yunse University

Abstract

The authors reviewed the medical records of 20 patients who were diagnosed as brain tuberculoma at Severance Hospital from 1980 to 1984. The 20 patients were presumptive cases based on clinical, roentgenological or laboratory findings without histologic proof were used, exept one. All cases were Korean, onset was between 3 to 59 years of age and there was no sexual preponderance. The initial clinical features were seizure, symptoms and signs of increased intracranial pressure, focal neurological signs, etc. Although a definite diagnosis is often not possible on CT scan, the method is of value in determining number, location and extent of lesions and in evaluating the effectiveness of antituberculous therapy. Fourteen of our 20 patients had single tuberculoma, six had mutliple or miliary tuberculoma and 18 cases were located on the cerebrum, two on the brainstem.