Isolated Brainstem Tuberculoma in Rural Area Case Report

WAGUE Daouda, CISSE Mohamed, SY Elhadji Cheikh Ndiaye, Gaye Maguatte, BA Momar Code

Abstract: Background: Intracranial tuberculosis isn?t uncommon in developing countries but localization to the brainstem is rare. We report an isolated brainstem tuberculoma at Matlaboulfawzaini hospital of Touba in Senegal. Case Presentation: This is a 24-year-old male with the notion of tuberculosis contact in his older brother admitted for headache, dizziness, partial left half-body crisis and left half-body deficit 4/5. The symptomatology have occurred progressively 03 months before his admission. The CT -Scan showed a single lobulated enhancing mass in brainstem. C-Reactive Protein was 48, Human Immunodeficiency Virus test was negative. The diagnostic of tuberculoma seemed more likely for us. He received a treatment based on antituberculosis and corticosteroids with a good evolution that was marked by a complete recovery of the deficit with headaches and dizziness regression. The control CT-scan after 08 months showed complete regression of the lesion. Conclusion: Antitubercular therapy gives very good results in the management of brainstem tuberculomas. This treatment confirms the diagnosis especially in countries where stereotaxis and neuronavigation biopsy have not yet emerged.

Keywords: tuberculoma, brainstem, case report, CT-scan