Cerebrum, Cerebellum, and Deep Structures of the Brain

Extensive and elaborative discussion of TB involving the cerebrum, deep structures of the brain, and cerebellum is beyond the scope of this chapter of the book. Every day the sciences are progressing in the knowing of TB of CNS. Available diagnostic tools and appropriate management protocol are continuously changing. In the management of cerebral and cerebellar TB, paradigm shifted toward the conservative drug therapy though surgery has its own definite role in the management of many cases, and sometimes it is lifesaving. Drug-resistant TB and cerebral and cerebellar TB in immunocompromised or immunosuppressed patients are very specially problematic with increased frequency of occurrence. For ease of discussion in this chapter, TB of cerebral hemisphere and deep structures of the brain (i.e., basal ganglia and parts of diencephalon) will be discussed together, and cerebellar TB will be discussed in the later part of the chapter. In this chapter all important aspects of cerebral and cerebellar TB including surgical aspects are discussed briefly.