OBJECTIVE AND IMPORTANCE: Many types of neurotuberculosis have been described; the most common intracranial forms are @entity1906 and @entity6551 . We report a unique and as yet unreported form of neurotuberculosis, which is an @entity9130 . CLINICAL PRESENTATION: A 59-year-old @entity1 who had been previously treated for @entity1907 ( @entity378 ) presented at our institution with a long-standing history of @entity10 . General and neurological examinations revealed no abnormalities. Radiography of the chest confirmed fibrotic lung changes caused by healed @entity1907 . A cranial computed tomographic scan revealed a hypodense extra-axial collection with mass effect as well as adjacent @entity4421 and @entity4 . INTERVENTION: The @entity1 underwent craniectomy of the osteitic bone and drainage of 50 ml of fluid pus located subdurally. Microscopic examination of the bone and pus revealed @entity378 granulation tissue with numerous acid-fast bacilli identified using Ziehl-Neelsen stain. Mycobacterium @entity378 bacillus was cultured from the pus at 42 days. The @entity1 required two further operative procedures as well as a protracted course of anti- @entity378 therapy. CONCLUSION: The @entity1 eventually achieved a good recovery. We recommend surgical drainage of @entity9130 to relieve mass effect and to obtain microbiological confirmation. Furthermore, surgical treatment should be combined with an 18-month course of anti- @entity378 chemotherapy, during which period @entity1 compliance should be closely monitored.

XXXX : case report.

@entity6551 :: ('MESH:D014375', 'Disease') :: ['tuberculomas'] @entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity9130 :: ('MESH:D004654', 'Disease') :: ['intracranial tuberculous subdural empyema', 'tuberculous subdural empyema'] @entity4 :: ('MESH:D004487', 'Disease') :: ['scalp swelling'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headaches'] @entity1906 :: ('MESH:D014390', 'Disease') :: ['tuberculous meningitis'] @entity4421 :: ('MESH:D010000', 'Disease') :: ['osteitis'] @entity378 :: ('MESH:D014376', 'Disease') :: ['tuberculous', 'TB'] @entity1907 :: ('MESH:D014397', 'Disease') :: ['pulmonary tuberculosis', 'pulmonary TB']
@entity9130 :: (MESH:D004654,Disease) :: ['Intracranial tuberculous subdural empyema']
