Concurrent cerebral infarction and intracranial tuberculoma induced by the carotid plaque complicated with miliary tuberculosis

被引：1

作者：

Muraoka, Shinsuke ^{[1
,2
]}

Oguri, Takuya ^{[3
]}

Kimura, Risa ^{[3
]}

Sakurai, Keita ^{[4
]}

Suzuki, Yasuhiko ^{[5
]}

Shimizu, Hiroyuki ^{[2
]}

Shinoda, Satoshi ^{[2
]}

Koketsu, Naoki ^{[2
]}

Araki, Yoshio ^{[6
]}

Saito, Ryuta ^{[7
]}

机构：

[1] Kariya Toyota Gen Hosp, Dept Neurosurg, Sumiyoshi Cho 5-15, Kariya, Aichi, Japan

[2] Tosei Gen Hosp, Dept Neurosurg, Nishi Oiwake Cho 160, Seto, Aichi, Japan

[3] Tosei Gen Hosp, Dept Neurol, Nishi Oiwake Cho 160, Seto, Aichi, Japan

[4] Natl Ctr Geriatr & Gerontol, Dept Radiol, Morioka Cho 7-430, Obu, Aichi, Japan

[5] Tosei Gen Hosp, Dept Pathol, Nishi Oiwake Cho 160, Seto, Aichi, Japan

[6] Nagoya Daini Hosp, Dept Neurosurg, Japanese Red Cross Aichi Med Ctr, Myoken Cho 2-9,Showa Ku, Nagoya, Japan

[7] Nagoya Univ, Dept Neurosurg, Grad Sch Med, Tsurumai Cho 65,Showa Ku, Nagoya, Aichi, Japan

来源：

ACTA NEUROCHIRURGICA | 2023年 / 165卷 / 3期

关键词：

M; tuberculosis; Tuberculoma; Tuberculous meningitis; Carotid artery stenosis; Cerebral infarction; Carotid endarterectomy; MENINGITIS; STROKE; SYSTEM;

D O I：

10.1007/s00701-023-05489-7

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cerebrovascular complications of central nervous system tuberculosis (TB) are predictors of poor prognosis and adverse outcomes. These complications are mainly intracranial arterial involvement, with occasional venous involvement. Here, we present a 67-year-old woman with concurrent cerebral infarction and intracranial tuberculoma induced by the carotid plaque complicated by miliary tuberculosis. Mycobacterium tuberculosis was observed on the luminal side of the carotid plaques in pathological specimens. Treatment with anti-TB drugs alone would likely not cure the patient, as M. tuberculosis would continue to disseminate. Endarterectomy could directly remove the embolic source, and a complete cure was achieved.

引用

页码：647 / 650

页数：4