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“Crown and necklace” appearance of cisternal tuberculoma
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Ansari A. “Crown and necklace” appearance of cisternal tuberculoma. Surg Neurol Int 2020;11:135.
We report a case of a 35-year-old female with features of headache and evening rise of temperature. She was found neurologically intact on examination. Contrast-enhanced MRI brain (axial and coronal) [Figures 1 and 2] showed multiple ring-enhancing lesions in the suprasellar and interpeduncular cisterns (crown appearance), and ambient and perimesencephalic cisterns (necklace appearance). Blood counts suggested a rise in lymphocytes with positive gamma interferon for tuberculosis. The patient was advised antitubercular treatment and was lost in follow-up after 3 months.
Declaration of patient consent
Patient’s consent not required as patients identity is not disclosed or compromised.
Financial support and sponsorship
Publication of this article was made possible by the James I. and Carolyn R. Ausman Educational Foundation.
Conflicts of interest
There are no conflicts of interest.
