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Description
  • A solitary tuberculous brain lesion (STBL) can be difficult to distinguish from a glioma, metastasis or other infectious disease, especially from a pyogenic brain abscess. We analyzed the clinical characteristics, diagnostic procedures and outcomes of 24 patients with STBL diagnosed in three centers from France, India and Mexico. We also reviewed 92 STBL cases previously reported in the literature. General symptoms were found in 54% of our patients, including enlarged lymph nodes in 20%. Cerebrospinal fluid was typically abnormal, with lymphocytic pleocytosis and a high protein level. The lung CT scan was abnormal in 56% of patients, showing lymphadenopathy or pachipleuritis. Brain MRI or CT was always abnormal, showing contrast-enhanced lesions. Typically, MRI abnormalities were hypointense on T1-weighted sequences, while T2-weighted sequences showed both a peripheral hypersignal and a central hyposignal. The diagnosis was documented microbiologically or supported histologically in 71% of cases. Clinical outcome was good in 83% of cases.
  • A solitary tuberculous brain lesion (STBL) can be difficult to distinguish from a glioma, metastasis or other infectious disease, especially from a pyogenic brain abscess. We analyzed the clinical characteristics, diagnostic procedures and outcomes of 24 patients with STBL diagnosed in three centers from France, India and Mexico. We also reviewed 92 STBL cases previously reported in the literature. General symptoms were found in 54% of our patients, including enlarged lymph nodes in 20%. Cerebrospinal fluid was typically abnormal, with lymphocytic pleocytosis and a high protein level. The lung CT scan was abnormal in 56% of patients, showing lymphadenopathy or pachipleuritis. Brain MRI or CT was always abnormal, showing contrast-enhanced lesions. Typically, MRI abnormalities were hypointense on T1-weighted sequences, while T2-weighted sequences showed both a peripheral hypersignal and a central hyposignal. The diagnosis was documented microbiologically or supported histologically in 71% of cases. Clinical outcome was good in 83% of cases. (en)
Title
  • Solitary tuberculous brain lesions: 24 new cases and a review of the literature
  • Solitary tuberculous brain lesions: 24 new cases and a review of the literature (en)
skos:prefLabel
  • Solitary tuberculous brain lesions: 24 new cases and a review of the literature
  • Solitary tuberculous brain lesions: 24 new cases and a review of the literature (en)
skos:notation
  • RIV/00216208:11110/14:10292332!RIV15-MSM-11110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • V
http://linked.open...iv/cisloPeriodika
  • 6-7
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
  • Bonnet, Cecilia
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 45902
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/14:10292332
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Magnetic resonance imaging; Cerebral biopsy; Brain abscess; Glioma; Brain tuberculosis; Tuberculoma (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • FR - Francouzská republika
http://linked.open...ontrolniKodProRIV
  • [A4FB469FE0E5]
http://linked.open...i/riv/nazevZdroje
  • Revue Neurologique
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 170
http://linked.open...iv/tvurceVysledku
  • Bonnet, Cecilia
  • Roze, E.
  • Behari, S.
  • Cardenas, G.
  • Caumes, E.
  • Heinzmann, A.
  • Jose Luis, S. Hernandez
  • Karantoni, E.
  • Lacrois, D.
  • Mohamed, N. Idris
  • Mokhtari, K.
  • Psimaras, D.
  • Sonmez, G.
  • Tag, E. Sokrab
  • Tungaria, A.
http://linked.open...ain/vavai/riv/wos
  • 000338756500008
issn
  • 0035-3787
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.neurol.2013.12.008
http://localhost/t...ganizacniJednotka
  • 11110
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