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KMID : 0359819930220020309
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 2 p.309 ~ p.314
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A Case of Adult Brain Stem Tuberculoma: MR Imaging
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정훈
김상근/김명섭/최기환/여형태/이정길
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Abstract
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A 39 years old healthy male patient with intracranial brain stem tuberculoma manifested hydrocephalic symptomes due to obstruction of aqueduct of sylvius is presented.
Surgical excision was undertaken for obtaining histologic diagnosis and resoving hydrocephalus, which made postoperative neurologic deficits.
CT and Magnetic resonance (MR) imaging of intracranial tubercuroma were studied for approaching nonsurgical diagnosis of tumberculoma.
MR imaging of tuberculoma shows low intensity on T2-weighted imaging with Magnevist ring enhancement.
The MR imaging feature of the tuberculoma were found to be distinct from those of abscess metastasis and glioma.
Antituberculous chemotherapy is thought to be better than surgical approach in managing brain stem tuberculoma if radiologic diagnosis was obtained.
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KEYWORD
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