Cerebellar Haemangioblastoma Diagnosed as Giant Tuberculoma: Falacies of Magnetic Resonance Spectroscopy—Case Report  

作　　者：B. B. Sharma Naveen Bhardwaj Sakshi Dewan Mir Rizwan Aziz Shashi Sharma Shilpa Singh 

机构地区：[1]Department of Radio-Diagnosis, SGT Medical College Budhera, Gurgaon, India [2]Department of Pediatrics, SGT Medical College, Gurgaon, India [3]Faculty of Allied Health Sciences, SGT University Gurgaon, Haryana, India

出　　处：《Open Journal of Radiology》2017年第1期54-58,共5页放射学期刊（英文）

摘　　要：Background: Posterior fossa haemangioblastoma tumors are slightly rare and these originate from the brain blood vascular network. Cerebellum and brain stem are the commonest places of occurrence. These are benign and produce symptoms quite late because of their slow growing asymptomatic nature. Case report: We present 24-years old female who was wrongly diagnosed as having giant tuberculomas of the posterior fossa by MR spectroscopy. Contrast enhanced computerized tomography (CECT) and magnetic resonance imaging (MRI) studies had shown the results more in favor of tuberculoma. She was given anti-tubercular therapy (ATT) but without any much improvement. The condition aggravated by causing obstructive hydrocephalus at the level of fourth ventricle. The patient was operated upon for the mass lesion and on histopathology;it was proved to be a case of cerebellar haemangioblastoma. Conclusion: MR spectroscopy can sometimes be misleading and can lead to mis-mangemant. The reliability of spectroscopy is debatable and has to be decided on the merits along with clinical symptomatology.Background: Posterior fossa haemangioblastoma tumors are slightly rare and these originate from the brain blood vascular network. Cerebellum and brain stem are the commonest places of occurrence. These are benign and produce symptoms quite late because of their slow growing asymptomatic nature. Case report: We present 24-years old female who was wrongly diagnosed as having giant tuberculomas of the posterior fossa by MR spectroscopy. Contrast enhanced computerized tomography (CECT) and magnetic resonance imaging (MRI) studies had shown the results more in favor of tuberculoma. She was given anti-tubercular therapy (ATT) but without any much improvement. The condition aggravated by causing obstructive hydrocephalus at the level of fourth ventricle. The patient was operated upon for the mass lesion and on histopathology;it was proved to be a case of cerebellar haemangioblastoma. Conclusion: MR spectroscopy can sometimes be misleading and can lead to mis-mangemant. The reliability of spectroscopy is debatable and has to be decided on the merits along with clinical symptomatology.

关 键 词：Haemangioblastoma MR Spectroscopy CECT MRI ATT HYDROCEPHALUS 

分 类 号：R73[医药卫生—肿瘤]