Abstract
Cerebrovascular complications of central nervous system tuberculosis (TB) are predictors of poor prognosis and adverse outcomes. These complications are mainly intracranial arterial involvement, with occasional venous involvement. Here, we present a 67-year-old woman with concurrent cerebral infarction and intracranial tuberculoma induced by the carotid plaque complicated by miliary tuberculosis. Mycobacterium tuberculosis was observed on the luminal side of the carotid plaques in pathological specimens. Treatment with anti-TB drugs alone would likely not cure the patient, as M. tuberculosis would continue to disseminate. Endarterectomy could directly remove the embolic source, and a complete cure was achieved.
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The anonymized individual patient data used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
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This study was approved by the local ethics committee on April 19th, 2022 (approval number: 1054). All procedures performed were in accordance with the ethical standards of the Declaration of Helsinki. All experiments were performed by CARE guidelines.
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Muraoka, S., Oguri, T., Kimura, R. et al. Concurrent cerebral infarction and intracranial tuberculoma induced by the carotid plaque complicated with miliary tuberculosis. Acta Neurochir 165, 647–650 (2023). https://doi.org/10.1007/s00701-023-05489-7
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DOI: https://doi.org/10.1007/s00701-023-05489-7