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Journal of Tropical Pediatrics 1993 39(3):176-178; doi:10.1093/tropej/39.3.176
© 1993 by Oxford University Press
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A Study of African Children with Prolonged Focal Seizure and a Specific CT Scan Finding

P. M. Leary, MD, FCP(SA), DCH*,, B. J. Cremin, MD, FRCR, FRACR**, J. D. Daubenton, MD, FCP(SA), DCH* and J. C. Peter, MB. FRCS***

*Departments of Paediatrics and Child Health, University of Cape Town and Red Cross War Memorial Children's Hospital Rondebosch, South Africa
**Departments of Radiology, University of Cape Town and Red Cross War Memorial Children's Hospital Rondebosch, South Africa
***Departments of Neurosurgery, University of Cape Town and Red Cross War Memorial Children's Hospital Rondebosch, South Africa

Correspondence: Professor P. M Leary, Institute of Child Health. University of Cape Town, Rondebosch 7700, South Africa

A prospective study was carried out on 25 children who presented with a focal seizure and had CT scan appearances identified as tuberculoma. Thirteen were treated for tuberculosis. The other 12 received no anti-tuberculous drug therapy. Follow-up scans showed resolution of the radiological lesions in all cases. It is postulated that anti-tuberculous drugs may safely be withheld in cases of this nature when there is no other evidence of tuberculosis.


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