Tuberculoma cerebral como única manifestación de tuberculosis en embarazada. Presentación de un caso

Abstract

Introduction: Cerebral tuberculomas, as an exclusive manifestation of tuberculosis, have been rarely reported during pregnancy. Clinical case: The case of a patient with a second trimester pregnancy with progressive headache and diplopia is presented. Neuroimaging studies showed right frontal tumor lesion, well located, with extensive area of adjacent edema and lipid peak in spectroscopy. No other alterations on physical exam were detected. Craniotomy and block resection of the lesion were performed at 20 weeks of pregnancy, without complications for the patient or the fetus, the biopsy verified the diagnosis of tuberculoma. He received tuberculosis treatment for 6 months. She had normal birth and is currently asymptomatic. His son, over one year old today, remains unchanged. Conclusions: Cere-bral tuberculomas as an exclusive manifestation of tuberculosis in pregnancy are rare but probable. Clinical suspicion, diagnostic confirmation and surgery in the indicated cases, carried out with agility and planned by a multidisciplinary team, are relevant for obtaining good therapeutic results for both, the mother and the fetus.