@entity378 usually involves the brain through haematogenous spread. The @entity66 caused by @entity378 in the brain is called @entity6551 , which is a conglomerate of tubercles. @entity6551 may also be found in the spinal cord. Because of their slow growth they often become calcified. The study was conducted at the King Fahad Hospital, Hofuf, Al Hassia, Saudi Arabia between 1992 and 1998. It was a prospective study of all @entity1 which had @entity66 which showed typical ring-enhancement on brain CT scan with contrast. Twenty @entity1 satisfied inclusion into the study. Of the 20 @entity1 studied, 19 (95%) were males and 1 (5%) was a female. The ages ranged between 22 and 50 years. Eighteen (90%) of the @entity1 were immigrant labourers from Asia and 2 (10%) were Saudi nationals, a male aged 50 years and a female aged 22 years. Fifteen (83.5%) were from India, 2 (11.1%) from Bangladesh, and 1 (5.6%) from Sri Lanka. The presenting feature in 60% of cases was focal @entity410 with secondary generalisation. 20% had primary generalized @entity410 , and 30% presented with @entity10 , 25% with weakness of the limbs, 15% with @entity221 and 10% each with @entity227 , respectively. In 65% of cases, there was noneurological deficit but 35% had @entity425 in the limbs. In 55% of cases the @entity6551 were located in the left cerebral hemisphere. 30% in the right cerebral hemisphere and in 15%, the lesions were in both hemisphere. When a male Asian immigrant labourer aged between 20 and 40 years presents with @entity410 with or without @entity10 , he should have a brain CT scan with contrast to exclude @entity6550 . A short course of anti-tuberculous therapy may be tried where there is doubt, irrespective of normal erythrocyte sedimentation rate (ESR). We suggest that when the presenting symptom is primary generalized tonic clonic @entity410 , the @entity6550 is located in the frontal lobe: a high erythrocyte sedimentation rate (ESR) may indicate multiple @entity6551 .

XXXX : the Hofuf, Saudi Arabia experience.

@entity6551 :: ('MESH:D014375', 'Disease') :: ['Tuberculomas', 'tuberculoma'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure', 'seizures'] @entity227 :: ('MESH:D014786', 'Disease') :: ['vomitting and blurred vision'] @entity66 :: ('MESH:D004194', 'Disease') :: ['intracrainal mass lesions', 'mass lesion'] @entity425 :: ('MESH:D018908', 'Disease') :: ['pyramidal weakness'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity6550 :: ('MESH:D016862', 'Disease') :: ['intracranial Tuberculoma'] @entity378 :: ('MESH:D014376', 'Disease') :: ['Tuberculosis', 'tuberculosis'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity6550 :: (MESH:D016862,Disease) :: ['Intracranial tuberculomas']
