MULTIPLE CEREBRAL TUBERCULOMAS WITHOUT FOCAL NEUROLOGICAL DEFICIT IN AN IMMUNOCOMPETENT ADULT NIGERIAN:A CASE REPORT
Peter Okokhere O.,
Kennedy Akhuemokhan I,
Kolawole Wahab W,
Theophilus Akhigbe O,
George Akpede O
Affiliations
Peter Okokhere O.
College of Medicine, Ambrose Alli university, Ekpoma, Edo State, Nigeria + Department of Medicine, Irrua Specialist Teaching Hospital, P.M.B 8, Irrua, Edo State, Nigeria
Kennedy Akhuemokhan I
College of Medicine, Ambrose Alli university, Ekpoma, Edo State, Nigeria + Department of Medicine, Irrua Specialist Teaching Hospital, P.M.B 8, Irrua, Edo State, Nigeria
Kolawole Wahab W
Division of Neurology, Department of Medicine, University of Ilorin Teaching Hospital, Nigeria
Theophilus Akhigbe O
Department of Radiology, Irrua Specialist Teaching Hospital, P.M.B 08, Irrua, Edo State, Nigeria
George Akpede O
Department of Paediatrics, Irrua Specialist Teaching Hospital, P.M.B 08, Irrua, Edo State, Nigeria
Multiple cerebral tuberculomas complicating miliary tuberculosis are a rare occurrence. It is rarer still for multiple cerebral tuberculomas to present without focal neurological deficits. We report the case of a middle-aged Nigerian male with the co-morbidity of miliary tuberculosis and multiple cerebral tuberculomaswho presented without focal neurological deficits buthad complete resolution of symptoms and signs following a 6-month course of antituberculous therapy. This unique case emphasizes the need for a high index of suspicion in the diagnosis of atypical presentations of cerebral tuberculomas while also further illustrating the place of computed tomographic scan of the brain in diagnosis. The case also illustrates the place of therapeutic trial in management.
