Revista de informes de casos clínicos

Multiple Parameter MRI Findings of Cerebral Tubercular Abscess: A Case Report

Abstract

Shrestha Sukriti, Zeng Daobing, Li Zhu, Xinxiang Zhao and Yang Wang

Tubercular cerebral abscess (TBA) is an extremely rare entity. Although tuberculosis is a common infectious disease occurring worldwide, with meningitis and tuberculoma being the commonest CNS manifestations, TBA, has been infrequently described in the literature and its MRI features have also been rarely reported. Its clinical and radiological features may simulate other infectious and noninfectious neurological diseases and cystic tumors. Hence, it is essential for every radiologist to be familiar with the imaging presentations of various forms of CNS tuberculosis for timely diagnosis and treatment, thereby reducing the morbidity and mortality of this disease. Here, we report to you a case of tubercular cerebral abscess of a 60-year-old male who presented with headache and seizures for one month with no history of pulmonary tuberculosis and negative HIV serology. We further discuss about the MRI, DWI and MR spectroscopy findings of this disease and compare with other cases reported in the literature.