Anhelation due to formation of tuberculomas at the medulla oblongata during chemotherapy of tuberculous meningitis

作者:Ge, Pengfei; Zhang, Xiaojie; Zhong, Yongping; Bian, Xinchao; Fu, Shuanglin; Luo, Yinan*
来源:Neurologia i Neurochirurgia Polska, 2012, 46(5): 501-505.
DOI:10.5114/ninp.2012.31363

摘要

Formation of tuberculoma is a rare response of neurotuberculosis in patients regularly and adequately treated with antituberculous drugs. We report a 13-year-old girl with two tuberculomas which formed in the dorsal part of the medulla oblongata during chemotherapy for tuberculous meningitis. The tuberculomas were both removed via a suboccipital midline approach and were demonstrated by pathological findings but the girl died of cardiac arrest that was thought to be caused by postoperative medulla oblongata oedema. In combination with a literature review, we discuss the clinical features and treatment options of brainstem tuberculomas.

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