PT  - JOURNAL ARTICLE
AU  - Uysal, Gulnar
AU  - Gursoy, Tugba
AU  - Altunc, Umut
AU  - Guven, Akif
TI  - Asymptomatic pons tuberculoma in an infant with miliary tuberculosis
DP  - 2005 Oct 01
TA  - Neurosciences Journal
PG  - 309--311
VI  - 10
IP  - 4
4099  - http://nsj.org.sa/content/10/4/309.short
4100  - http://nsj.org.sa/content/10/4/309.full
SO  - Neurosciences (Riyadh)2005 Oct 01; 10
AB  - Miliary tuberculosis is caused by the hematogenous spread of Mycobacterium tuberculosis and consists of 1.5% of all tuberculosis cases. It is seen mostly in infants because of the immature immune system, and central nervous system (CNS) involvement is not rare. Tuberculomas are rarely seen in the localized form of CNS tuberculosis, and only 4% are localized in the brain stem. We report a 4.5-month-old infant who deteriorated during follow-up with the diagnosis of cytomegalovirus pneumonia, and afterwards received the diagnosis of miliary tuberculosis. Although the baby had no neurologic abnormality and cerebrospinal fluid findings were normal, cranial MRI revealed contrast enhanced nodular lesions in pons, cerebellum, and right parietal region. The case is presented to intensify the importance of CNS investigation even if the patient with miliary tuberculosis has no neurologic finding.