Resolution of intracranial tuberculoma with medical therapy.

The diagnosis and treatment of intracranial TB remains challenging. This is due to its multiple patterns of presentation, mimicking brain tumors such as gliomas and pyogenic abscesses. The symptoms and signs are those of any intracranial mass lesion such as seizures, hemiparesis and cognitive disturbances. The ring enhancing pattern of tuberculomas on contrast scans is non-specific and so is the uniform enhancement sometimes seen with these lesions. Multiple lesions may be present.3 A history of pulmonary involvement is found in about half the cases .4