{"title":"回顾埃塞俄比亚一家教学医院颅内结核瘤的临床、计算机断层扫描和/或磁共振成像结果。","authors":"Getachew Assefa, Fathia Omar, Hagos Biluts, Mersha Abebe","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Ackground: </strong>Ethiopia is one of the countries that has high burden of all forms of tuberculosis and there is no published\nreport on computerized tomography scan and/or magnetic resonance imaging of intracranial tuberculomas.\nObjective : to review the clinical, computerized tomography and/or magnetic resonance imaging features of intracranial tuberculoma.</p><p><strong>Methods: </strong>retrospective review of patient’s medical records of patients operated for intracranial mass that had\ncomputerized tomography and/or magnetic resonance imaging brain scans and had histopathological diagnoses,\nat Tikur Anbessa Specialized Hospital between January 2009 and June 2013.</p><p><strong>Results: </strong>Of 222 operated cases of intracranial mass subjected to histopathological test 29 (14.6%) were found to\nhave tuberculomas, 28 (14.1%) had caseous necrosis and one was a tuberculous abscess, in 25 cases imaging was\navailable for review and were included in the study . There were 15 males and 10 females with age range being 2\nto 65 years and with the Median age being 13 years. Twenty patients had computerized tomography and five patients\nhad magnetic resonance imaging. Seizure 15/25 (60%) and headache 11/25 (44%) were the commonest\npresentation. Solitary or confluent large lesions were seen in 12/25 (48%) of patients. 14/25 (56%) of the lesions\nhad their size between 2 cm and 5 cm. Majority of the lesions 15/25 (60%) were in the frontal and parietal lobes.\nThe lesions were isodense on CT in 18/25 (72%) of the pre-contrast studies and 21/25 (84%) showed ring or rim\nenhancement after intravenous administration of the contrast medium.</p><p><strong>Conclusion: </strong>Tuberculoma, more frequently, presented with non-specific clinical findings and chronic seizure disorder\nand comonly occurred in young patients and often seen infratentorialy. It is often complicated with hydrocephalus\nin the pediatric age group. Computerized tomography scan and/or magnetic resonance imaging features\nare not different from reports from other countries.</p>","PeriodicalId":11937,"journal":{"name":"Ethiopian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"REVIEW OF THE CLINICAL, COMPUTERIZED TOMOGRAPHY SCAN AND/OR\\nMAGNETIC RESONANCE IMAGING FINDINGS OF INTRACRANIAL\\nTUBERCULOMA IN AN ETHIOPIAN TEACHING HOSPITAL.\",\"authors\":\"Getachew Assefa, Fathia Omar, Hagos Biluts, Mersha Abebe\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Ackground: </strong>Ethiopia is one of the countries that has high burden of all forms of tuberculosis and there is no published\\nreport on computerized tomography scan and/or magnetic resonance imaging of intracranial tuberculomas.\\nObjective : to review the clinical, computerized tomography and/or magnetic resonance imaging features of intracranial tuberculoma.</p><p><strong>Methods: </strong>retrospective review of patient’s medical records of patients operated for intracranial mass that had\\ncomputerized tomography and/or magnetic resonance imaging brain scans and had histopathological diagnoses,\\nat Tikur Anbessa Specialized Hospital between January 2009 and June 2013.</p><p><strong>Results: </strong>Of 222 operated cases of intracranial mass subjected to histopathological test 29 (14.6%) were found to\\nhave tuberculomas, 28 (14.1%) had caseous necrosis and one was a tuberculous abscess, in 25 cases imaging was\\navailable for review and were included in the study . There were 15 males and 10 females with age range being 2\\nto 65 years and with the Median age being 13 years. Twenty patients had computerized tomography and five patients\\nhad magnetic resonance imaging. Seizure 15/25 (60%) and headache 11/25 (44%) were the commonest\\npresentation. Solitary or confluent large lesions were seen in 12/25 (48%) of patients. 14/25 (56%) of the lesions\\nhad their size between 2 cm and 5 cm. Majority of the lesions 15/25 (60%) were in the frontal and parietal lobes.\\nThe lesions were isodense on CT in 18/25 (72%) of the pre-contrast studies and 21/25 (84%) showed ring or rim\\nenhancement after intravenous administration of the contrast medium.</p><p><strong>Conclusion: </strong>Tuberculoma, more frequently, presented with non-specific clinical findings and chronic seizure disorder\\nand comonly occurred in young patients and often seen infratentorialy. It is often complicated with hydrocephalus\\nin the pediatric age group. Computerized tomography scan and/or magnetic resonance imaging features\\nare not different from reports from other countries.</p>\",\"PeriodicalId\":11937,\"journal\":{\"name\":\"Ethiopian Medical Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ethiopian Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethiopian Medical Journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
REVIEW OF THE CLINICAL, COMPUTERIZED TOMOGRAPHY SCAN AND/OR
MAGNETIC RESONANCE IMAGING FINDINGS OF INTRACRANIAL
TUBERCULOMA IN AN ETHIOPIAN TEACHING HOSPITAL.
Ackground: Ethiopia is one of the countries that has high burden of all forms of tuberculosis and there is no published
report on computerized tomography scan and/or magnetic resonance imaging of intracranial tuberculomas.
Objective : to review the clinical, computerized tomography and/or magnetic resonance imaging features of intracranial tuberculoma.
Methods: retrospective review of patient’s medical records of patients operated for intracranial mass that had
computerized tomography and/or magnetic resonance imaging brain scans and had histopathological diagnoses,
at Tikur Anbessa Specialized Hospital between January 2009 and June 2013.
Results: Of 222 operated cases of intracranial mass subjected to histopathological test 29 (14.6%) were found to
have tuberculomas, 28 (14.1%) had caseous necrosis and one was a tuberculous abscess, in 25 cases imaging was
available for review and were included in the study . There were 15 males and 10 females with age range being 2
to 65 years and with the Median age being 13 years. Twenty patients had computerized tomography and five patients
had magnetic resonance imaging. Seizure 15/25 (60%) and headache 11/25 (44%) were the commonest
presentation. Solitary or confluent large lesions were seen in 12/25 (48%) of patients. 14/25 (56%) of the lesions
had their size between 2 cm and 5 cm. Majority of the lesions 15/25 (60%) were in the frontal and parietal lobes.
The lesions were isodense on CT in 18/25 (72%) of the pre-contrast studies and 21/25 (84%) showed ring or rim
enhancement after intravenous administration of the contrast medium.
Conclusion: Tuberculoma, more frequently, presented with non-specific clinical findings and chronic seizure disorder
and comonly occurred in young patients and often seen infratentorialy. It is often complicated with hydrocephalus
in the pediatric age group. Computerized tomography scan and/or magnetic resonance imaging features
are not different from reports from other countries.
期刊介绍：
The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.
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