“Crown and necklace” appearance of cisternal tuberculoma
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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.


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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.