Publication: Diagnostic Dilemma of Central Nervous System Tuberculosis with Neurocysticercosis and Neurosarcoidosis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Multiple ring-enhancing lesions are commonly encountered abnormalities in neuroimaging. There are many differentials for such lesions as infections, neoplasms, vascular lesions, inflammatory and demyelinating conditions, and granulomatous diseases. In developing countries, tuberculoma and neurocysticercosis are the two important etiologies to be considered. This case report illustrates how multiple ring-enhancing lesions can lead to our management in one direction while the true diagnosis remains elusive. A 53-year-old male who presented with a headache was initially diagnosed and treated as neurocysticercosis, then neurosarcoidosis ultimately turned out to be a case of Central Nervous System Tuberculosis on further evaluation. Consideration of only clinical scenarios and neurological imaging can lead to diagnostic inaccuracy, mismanagement and poor outcome, therefore, other supporting lab investigations should be considered for making a correct diagnosis.
Description
Nikesh Bajracharya
KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal
Saral Lamichhane
Shishuwa Hospital, Lekhnath, Pokhara, Nepal
Prakriti Lamichhane
KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal
Dirishya Bishowkarma
KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal
Ashirbad Acharya
Sundarbazar Hospital, Sundarbazar, Lamjung, Nepal
Shanti Sharma
KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal
Prajwal Pandit
KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal
Keywords
Brain, Case reports, Neurocysticercosis, Sarcoidosis, Tuberculoma