2025 ICD-10-CM code A17.1
(Active) Effective Date: N/A Infectious and Parasitic Diseases - Tuberculosis of nervous system Certain infectious and parasitic diseases Feed
Meningeal tuberculoma.A tuberculoma within the meninges (membranes surrounding the brain and spinal cord).
Medical necessity for treatment of meningeal tuberculoma is established by confirming the diagnosis through laboratory and imaging studies. The treatment aims to eradicate the infection, prevent further neurological damage, and manage associated symptoms.
Diagnosis of meningeal tuberculoma involves assessing symptoms like headaches, seizures, and vision changes, along with neurological deficits and altered mental status.Providers conduct tests such as cerebrospinal fluid analysis for Mycobacterium tuberculosis, tuberculin skin tests, and imaging studies like MRI or CT scans to confirm the presence of tuberculomas. Treatment typically includes antituberculous chemotherapy, sometimes with adjunctive steroids.Surgical intervention may be necessary in some cases.
In simple words: Meningeal tuberculoma is a lump-like growth within the lining of the brain and spinal cord caused by tuberculosis. It can cause severe headaches, seizures, and vision problems.
Meningeal tuberculoma refers to firm, avascular, spherical masses in the protective membranes (meninges) surrounding the brain and spinal cord. It's a manifestation of tuberculosis meningitis (TBM) caused by Mycobacterium tuberculosis, which can occur even with appropriate antitubercular therapy.
Example 1: A patient presents with persistent headaches, seizures, and papilledema.MRI reveals a spherical mass in the meninges.CSF analysis confirms the presence of Mycobacterium tuberculosis, leading to a diagnosis of meningeal tuberculoma., A patient with a history of treated tuberculosis develops new neurological symptoms, including focal weakness and cognitive changes. CT scan shows a meningeal tuberculoma, indicating reactivation of the disease within the central nervous system., A child with a positive tuberculin skin test and recent weight loss develops fever, stiff neck, and altered consciousness.Lumbar puncture reveals evidence of tuberculosis meningitis, and subsequent imaging identifies a meningeal tuberculoma.
Documentation should include clinical findings (headaches, seizures, neurological deficits, altered mental status), CSF analysis results, tuberculin skin test results, imaging findings (MRI or CT), and details of any previous or current tuberculosis treatment.
- Specialties:Infectious Disease, Neurology, Neurosurgery
- Place of Service:Inpatient Hospital