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Miliary brain tuberculomas concomitant with conus medullaris tuberculoma. Case report

Mamoune El Mostarchid, Zakaria Chandide Tlemcani, Imadeddine Sahri, Abderrahmane Housni, Asri Abbad Chrif, Miloudi Gazzaz.


Miliary brain tuberculomas are very rare even in areas tuberculosis is endemic. Intra-medullary tuberculomas are rare and constitute only 0.2-5% of all CNS tuberculomas. The combination of intracranial and intramedullary tuberculomas is extremely rare and only a few cases have been reported in the literature so far.
We report a very rare case of miliary brain tuberculoma with approximately 40 small lesions 2 to 4 mm in diameter, concomitant with intramedullary conus tuberculoma. The literature is reviewed.
Associated brain miliary and intramedullary tuberculoma can be symptomatic, but sometimes can be a radiological incidental finding. We believe that craniospinal MRI screening must be done in diffuse tuberculomas.

Key words: brain miliary tuberculomas, 40 lesions, MRI, intramedullary conus tuberculomas

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