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Intractable singultus as an initial symptom of medulla oblongata tuberculoma: A rare case report.
Clin Neurol Neurosurg. 2021 11; 210:106989.CN

Abstract

Tuberculoma of medulla oblongata is a rare manifestation of central nervous system tuberculosis (CNS TB), which may manifest as intractable singultus as the initial symptom. It is almost impossible to obtain definite diagnosis through biopsy consider its location. Immediate thorough diagnostic workup is needed, and empirical treatment should be started. We report a case of medulla oblongata tuberculoma in an HIV-negative 38-year-old man with intractable singultus as one of the early symptoms. He was treated empirically with anti-tuberculosis therapy and his symptoms subsided within 2 weeks.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Yolanda S
Department of Neurology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National Central General Hospital, Indonesia; Department of Medical Physiology, Faculty of Medicine Universitas Indonesia, Indonesia. Electronic address: sophie.y@ui.ac.id.
Maharani K
Department of Neurology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National Central General Hospital, Indonesia.
Imran D
Department of Neurology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National Central General Hospital, Indonesia.
Estiasari R
Department of Neurology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National Central General Hospital, Indonesia.

MeSH

AdultAntitubercular AgentsHiccupHumansMaleMedulla OblongataTuberculoma

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

34700277

Citation

Yolanda, Sophie, et al. "Intractable Singultus as an Initial Symptom of Medulla Oblongata Tuberculoma: a Rare Case Report." Clinical Neurology and Neurosurgery, vol. 210, 2021, p. 106989.
Yolanda S, Maharani K, Imran D, et al. Intractable singultus as an initial symptom of medulla oblongata tuberculoma: A rare case report. Clin Neurol Neurosurg. 2021;210:106989.
Yolanda, S., Maharani, K., Imran, D., & Estiasari, R. (2021). Intractable singultus as an initial symptom of medulla oblongata tuberculoma: A rare case report. Clinical Neurology and Neurosurgery, 210, 106989. https://doi.org/10.1016/j.clineuro.2021.106989
Yolanda S, et al. Intractable Singultus as an Initial Symptom of Medulla Oblongata Tuberculoma: a Rare Case Report. Clin Neurol Neurosurg. 2021;210:106989. PubMed PMID: 34700277.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intractable singultus as an initial symptom of medulla oblongata tuberculoma: A rare case report. AU - Yolanda,Sophie, AU - Maharani,Kartika, AU - Imran,Darma, AU - Estiasari,Riwanti, Y1 - 2021/10/14/ PY - 2021/09/06/received PY - 2021/09/28/revised PY - 2021/10/09/accepted PY - 2021/10/27/pubmed PY - 2022/3/3/medline PY - 2021/10/26/entrez KW - Medulla oblongata KW - Singultus KW - Tuberculoma SP - 106989 EP - 106989 JF - Clinical neurology and neurosurgery JO - Clin Neurol Neurosurg VL - 210 N2 - Tuberculoma of medulla oblongata is a rare manifestation of central nervous system tuberculosis (CNS TB), which may manifest as intractable singultus as the initial symptom. It is almost impossible to obtain definite diagnosis through biopsy consider its location. Immediate thorough diagnostic workup is needed, and empirical treatment should be started. We report a case of medulla oblongata tuberculoma in an HIV-negative 38-year-old man with intractable singultus as one of the early symptoms. He was treated empirically with anti-tuberculosis therapy and his symptoms subsided within 2 weeks. SN - 1872-6968 UR - https://www.unboundmedicine.com/medline/citation/34700277/Intractable_singultus_as_an_initial_symptom_of_medulla_oblongata_tuberculoma:_A_rare_case_report_ DB - PRIME DP - Unbound Medicine ER -