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Case Report: Cranial Tuberculosis in a Patient without Tuberculosis Foci Elsewhere in the Body

Yulin CenDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Southwest Medical University, Lu Zhou, China;

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Jiaqi LiDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Southwest Medical University, Lu Zhou, China;

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Guiyuan WangDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Southwest Medical University, Lu Zhou, China;

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Shenjie LiDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Sichuan Clinical Research Center for Neurosurgery, Lu Zhou, China;
Academician (Expert) Workstation of Sichuan Province, Lu Zhou, China;
Neurological Diseases and Brain Function Laboratory, Lu Zhou, China

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Wei XiangDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Sichuan Clinical Research Center for Neurosurgery, Lu Zhou, China;
Academician (Expert) Workstation of Sichuan Province, Lu Zhou, China;
Neurological Diseases and Brain Function Laboratory, Lu Zhou, China

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Jie ZhouDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Sichuan Clinical Research Center for Neurosurgery, Lu Zhou, China;
Academician (Expert) Workstation of Sichuan Province, Lu Zhou, China;
Neurological Diseases and Brain Function Laboratory, Lu Zhou, China

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Ligang ChenDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China;
Sichuan Clinical Research Center for Neurosurgery, Lu Zhou, China;
Academician (Expert) Workstation of Sichuan Province, Lu Zhou, China;
Neurological Diseases and Brain Function Laboratory, Lu Zhou, China

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ABSTRACT.

Cranial tuberculosis is a relatively infrequent inflammatory reaction caused by tuberculous bacilli invading the skull. Most cases of cranial tuberculosis are secondary to tuberculosis foci in other parts of the body; primary cranial tuberculosis is extremely rare. Herein, we report a case of primary cranial tuberculosis. A 50-year-old man presented to our hospital with a mass in the right frontotemporal region. Chest computed tomography and abdominal ultrasonography findings were normal. Magnetic resonance imaging of the brain revealed a mass in the right frontotemporal skull and scalp with cystic changes, adjacent bone destruction, and meningeal invasion. The patient underwent surgery and was diagnosed with primary cranial tuberculosis; he was treated with antitubercular therapy postoperatively. No recurrent masses or abscesses were observed during the follow-up.

Author Notes

Address correspondence to Jie Zhou or Ligang Chen, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Taiping St. 25#, Lu Zhou 646000, China. E-mails: zhoujie@swmu.edu.cn or chengligang.cool@163.com

Authors’ addresses: Yulin Cen, Jiaqi Li, and Guiyuan Wang, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China, and Southwest Medical University, Lu Zhou, China, E-mails: cenyulin3@163.com, reginaljq@163.com, and 1533357181@qq.com. Shenjie Li, Wei Xiang, Jie Zhou, and Ligang Chen, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China, Sichuan Clinical Research Center for Neurosurgery, Lu Zhou, China, Academician (Expert) Workstation of Sichuan Province, Lu Zhou, China, and Neurological Diseases and Brain Function Laboratory, Lu Zhou, China, E-mails: lishenjiejwk@163.com, scxiangwei23@163.com, zhoujie@swmu.edu.cn, and chenligang.cool@163.com.

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