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Cavernous sinus tuberculoma: diagnostic difficulties in a personal case |
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| Authors: | Rebai R Boudawara M Z Bahloul K Chabchoub I Chaari S Boudawara T Ben Mansour H |
| Affiliation: | * Department of Neurological Surgery, Sfax, Tunisia † Department of Cytopathology, H. Bourguiba Hospital, Sfax, Tunisia |
| Abstract: | BACKGROUND Tuberculoma of the brain is rare, and its location in the cavernous sinus is exceptional. Many factors make the diagnosis difficult, necessitating a surgical procedure. CASE DESCRIPTION A 44-year-old woman complained of persistent headaches and diplopia. The examination revealed a right cavernous sinus syndrome. Radiologic investigation showed a growing process in the right cavernous sinus, overlapping the sella turcica. The diagnoses of metastasis, tuberculoma, and sarcoidosis were considered, but none of them could be confirmed. A biopsy of the lesion via a subtemporal approach revealed a tuberculoma. Antituberculous treatment led to complete resolution of her symptoms. CONCLUSION The diagnosis of a cavernous sinus tuberculoma is difficult; it is confirmed by biopsy. However, a trial of medical treatment, if the results are favorable, may obviate the need for a surgical procedure. |
| Keywords: | Intracranial tuberculoma cavernous sinus antituberculous chemotherapy surgical treatment |
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