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Journal of Case Reports
Tuberculous Osteomyelitis of Frontal Bone: A Case Study and Review of the Literature
Venkateswara Rao Kommu1, Rachna Khera2, Ravindranath Tagore2, Sudha S Murthy2, Challa Sundaram2, Swapna Kotha3
Departments of 1Neurosurgery, 2Pathology and 3Radiology; Basavatarakam Indoamerican Cancer Hospital and Research Institute, Hyderabad-500034, Telangana, India. 
Corresponding Author:
Dr. Venkateswara Rao Kommu
Email: drvenkyms@gmail.com 
Received: 24-NOV-2018 Accepted: 28-MAR-2019 Published Online: 10-APR-2019
DOI: http://dx.doi.org/10.17659/01.2019.0019
Background: Skeletal tuberculosis constitutes about 1% of all tubercular cases. It usually affects the spine and long bones. Tubercular osteomyelitis of skull is a rare entity and therefore diagnosis is not suspected. Skull bones usually involves secondarily from the lung or lymph node focus. Biopsy in these cases confirms the diagnosis. Case Report: A 20 year male patient presented with gradually progressive headache, with multiple episodes of seizures. Magnetic resonance imaging (MRI) brain revealed heterogeneously enhancing extra-axial bi-frontal convexity mass lesion. Histopathology showed necrosis and many caseating as well as non-caseating well defined epithelioid granulomas. Conclusion: A high index of suspicion is important to recognize tuberculous involvement of the skull. Biopsy confirms the diagnosis.
Keywords : Granuloma, Osteromyelitis, Seizures, Skull, Tuberculosis.
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