• World Neurosurg · Aug 2020

    Case Reports

    Calvarial tuberculosis presenting with skin defect in an elderly patient.

    • Yoon-Hee Choo, Youngbeom Seo, and Joonhyuk Choi.
    • Department of Neurosurgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, South Korea.
    • World Neurosurg. 2020 Aug 1; 140: 267-270.

    BackgroundTuberculosis is a common disease; however, the prevalence of calvarial tuberculosis is very rare. Most cases of calvarial tuberculosis occur in young patients. We report a rare case of calvarial tuberculosis in an elderly patient.Case DescriptionAn 89-year-old woman presented with a forehead skin defect. Radiologic imaging showed bony erosion 20 × 10 mm in size with adjacent dural enhancement in the left frontal bone. The patient underwent surgical treatment. Pathology revealed chronic granulomatous inflammation with caseous necrosis, consistent with tuberculosis. Antituberculous medications were prescribed for 6 months.ConclusionsA careful assessment should be performed to obtain an appropriate diagnosis in cases of osteolytic lesions of the skull.Copyright © 2020 Elsevier Inc. All rights reserved.

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