Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 22 March 2023
‘Bunch of Grapes’ at the Occipital Lobe with 3.8ppm Singlet Peak on MRS: A Case of Tuberculoma
Ariza Joy A. Dechavez, Jose C. Navarro
Jose R. Reyes Memorial Medical Center
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10.31014/aior.1994.06.01.260
Pages: 65-70
Keywords: Bunch of Grapes, Tuberculoma, Occipital Lobe, 3.8ppm Singlet Peak
Abstract
Intracranial tuberculomas can cause a variety of symptoms which may include headache, vomiting, hemiparesis and seizures. These lesions are often misdiagnosed as neoplasms and radiographic findings are still non-specific2. We report a case of a 28 year old male presenting at the emergency room with blurred vision on both eyes with a 3 year history of recurrent seizures described as having sudden bright flashes of light on the right eye which was then associated with twitching of the right eyelid followed by stiffening of the right upper extremity, head veering to the right with associated loss of consciousness. Initial contrast MRI revealed multiple rim-enhancing lesions at the left occipital area with 3.8ppm singlet peak on MRS. This case highlights the need for high index of clinical suspicion for intracranial tuberculoma in an endemic area with an uncommon radiologic finding seen in contrast MRI.
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