Extensive central nervous system tuberculosis in ahypertensive, immunocompetentpatient: diagnostic challenges and imaging review. A case report

Abstract

Extensive central nervous system tuberculosis is rare especially in immunocompetent adults. This is a case of a 43-year old female hypertensive, HIV-negative patient, who presented with on and off throbbing headache, dizziness and occasional blurring of six months. No other associated systemic symptoms. General, central nervous and other systemic examinations were remarkably within normal limit. Craniocerebral computed tomography revealed features of widespread central nervous system tuberculoma. Patient was successfully treated with directly observed anti-tuberculosis short course treatment for six months.

Keywords: Hypertension, Central Nervous System Tuberculoma, Craniocerebral Computed Tomography, HIV-Negative, Directly Observed Anti-Tuberculosis Short Course Therapy