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Headache and Central Positioning Vertigo in a Middle Aged Female-a Case of Solitary Cerebellar Tuberculoma Involving Left Cerebellar Hemisphere [Turk J Neurol]
Turk J Neurol. 2012; 18(1): 39-42 | DOI: 10.4274/TND.47965  

Headache and Central Positioning Vertigo in a Middle Aged Female-a Case of Solitary Cerebellar Tuberculoma Involving Left Cerebellar Hemisphere

Shakya Bhattacharjee1, Arijit Majumdar2, Angshuman Jana3
1Neurology Itu, Institute Of Neurosciences, Kolkata,ưndia
2Sskm Hospital Department Of Pathology, Kolkata, India
3Sskm Hospital Department Of Microbiology, Kolkata, India

A 48 year old female presented with headache and an illusory sensation of spinning of head in respect to environment for last 8 weeks. Her head spinning or vertigo had no particular direction or not precipitated by any specific head posture. Headache is non- specific in nature and intensified in last few days.Her neurological examination revealed a central positional vertigo with horizontal gaze evoked nystagmus and ataxia. Her MRI scan brain showed the presence of a large solitary ring enhancing lesion in the left cerebellar hemisphere. The lesion was surgically excised and was examined histopathologicaliy that revealed a chronic inflammatory granuloma with caseation necrosis and multinucleated giant cells suggestive of tuberculosis.

Keywords: Headache, caseous necrosis, cerebellum, tuberculoma


Shakya Bhattacharjee, Arijit Majumdar, Angshuman Jana. Headache and Central Positioning Vertigo in a Middle Aged Female-a Case of Solitary Cerebellar Tuberculoma Involving Left Cerebellar Hemisphere. Turk J Neurol. 2012; 18(1): 39-42

Corresponding Author: Shakya Bhattacharjee, India


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