Central Nervous System Tuberculoma Complicated with Spinal Arachnoiditis in Immunocompetent Patient

A. A. Ayu Suryapraba; Ni Made Susilawathi; I Wayan Niryana

doi:10.3889/oamjms.2019.272

Authors

A. A. Ayu Suryapraba Neurology Department, Faculty of Medicine, Udayana University, Sanglah Hospital Denpasar, Denpasar, Bali, Indonesia
Ni Made Susilawathi Neurology Department, Faculty of Medicine, Udayana University, Udayana University Hospital Jimbaran, Jimbaran, Bali, Indonesia
I Wayan Niryana Neurosurgery Departement Faculty of Medicine Udayana University/ Sanglah Hospital Denpasar http://orcid.org/0000-0003-2626-5931

DOI:

https://doi.org/10.3889/oamjms.2019.272

Keywords:

Tuberculoma, Central nervous system, Arachnoiditis, Immunocompetent

Abstract

BACKGROUND: Central nervous system (CNS) tuberculosis (TB) can manifest as meningitis, abscess, tuberculoma or other manifestations. CNS TB is a rare TB complication, and its diagnosis remains a challenge since it has clinical and imaging features that resemble other diseases. Antituberculosis treatment has a significant role in determining a patientâ€™s outcome and prevent complications and mortality.
CASE PRESENTATION: Here, we report a case of CNS TB manifested as tuberculoma in immunocompetent patient complicated with spinal arachnoiditis. Despite a treatment delay, the patient still showed clinical improvement after proper treatment with a combination of antituberculosis drug and corticosteroid.
CONCLUSION: Central Nervous System Tuberculoma Complicated with Spinal Arachnoiditis in Immunocompetent Patient CNS tuberculoma is a rare CNS TB manifestation, and its diagnosis remain a challenge since its clinical symptoms and radiological findings could mimic other cases such as malignancy, pyogenic abscess, toxoplasmosis, sarcoidosis, or neurocysticercosis.