Table 1: Review of the literature concerning posterior fossa tuberculomas.
Author (year) | Article type | Patient characteristics | Clinical presentation | Radiological presentation | Surgical data | Outcome |
---|---|---|---|---|---|---|
Binesh, et al. [9] | Case report | F/42 Iran | Intracranial hypertension Cerebellar dysfunction |
Well-defined, irregular lesion in the right cerebellar peduncle without mass effect |
Tumor removal | Good outcome at 2-year follow-up after antimycobacterial therapy |
Escobedo-Meléndez, et al. [10] | Case report | F/12y Mexico | Severe intracranial hypertension Cerebellar dysfunction Brainstem dysfunction |
Right posterior fossa mass with ring enhancement and hydrocephalus |
Tumor removal & V-P shunt | No tumor relapse at 1-mo follow-up No neurological recovery Death after 6 mos due to respiratory complications |
Miyajima, et al. [11] | Case report | F/25y Japan | Intracranial hypertension | Right cerebellar mass, T1-hypointense and heterogeneously T2-hyperintense |
Partial tumor removal | Good outcome at 6-mos follow-up after antimycobacterial therapy |
Muzumdar, et al. [12] | Case report | F/46 India | Intracranial hypertension Cerebellar dysfunction Multiple cranial nerves dysfunction |
Right cerebellar ring-enhancing mass, in continuity with a right vestibular schwannoma |
Removal of both tumors | Good outcome at 3-year follow-up after antimycobacterial therapy |
Nabiuni, Sarvarian [13] | Case report | F/23y Iran | Chiari malformation Intracranial hypertension Cerebellar dysfunction | Left cerebellar T1-hypointense mass, hydrocephalus |
Tumor removal & EVD placement | Good outcome at 6-mos follow-up |
Poonnoose, et al. [14] | Case report | F/27y India | Intracranial hypertension Cerebellar dysfunction Multiple cranial nerves dysfunction | Left posterior fossa mass with heterogeneous signal and multiple areas of intense contrast enhancement |
Tumor biopsy | Good outcome at 1-year follow-up after antimycobacterial therapy |
Sharma, et al. [15] | Case report | M/10y India | Intracranial hypertension Cerebellar dysfunction | Right cerebellar multiple conglomerated ring-enhancing lesions, basal exudates, hydrocephalus |
NA | NA |
Simsek, et al. [16] | Case report | F/13y Turkey Histiocytosis × F/35 y Italy | Intracranial hypertension Cerebellar disfunction Meningitis Intracranial hypertension |
Multiple conglomerated ring enhancing lesions in both cerebellar hemispheres Left cerebellar ring-enhancing mass with satellite lesions |
Tumor removal & V-P shunt Tumor removal & ETV | No neurological benefit from surgery Death after 2 weeks Good outcome at 3-year follow-up after antimycobacterial therapy |
Present work | Case report | F/34 y Congo | Intracranial hypertension | Left cerebellar ring-enhancing mass | Tumor removal & EVD placement | Good outcome at 3-mos follow-up with antimycobacterial therapy |
Abbreviations: ETV: Endoscopic Third Ventriculostomy; EVD: External Ventricular Drain; NA: Not Available; V-P: Ventriculo-Peritoneal.