ous pathogen in many parts of the world being increasingly responsible for disease. Worldwide 7–10 million people have tuberculosis; in 1995 in the United States 22 201 new cases were reported. Neurotuberculosis accounts for about 5% of extrapulmonary cases of tuberculosis. It is a result of the bacteremic stage of the disease, during which tuberculous lesions (Rich’s foci) may form in the meni...

Balo's concentric sclerosis (BCS) is considered a rare variant of multiple sclerosis, which often mimics an intracranial neoplasm or abscess. We report the case of a 21-year-old woman presenting with BCS while undergoing treatment for pulmonary tuberculosis. Initial brain magnetic resonance imaging (MRI) findings were similar to those for cerebral tuberculoma, multiple metastases, or abscesses....

Introduction: Ring-enhancing lesions is the most common abnormality faced in neuro-imaging. Imaging modalities commonly used to diagnose such are Computed Tomography (CT) and MRI. However, these considered challenging for radiologists. Diagnosing ring enhancing by conventional MRI challenging, especially when neoplastic, non-neoplastic infections be differentiated. Differentiation between tuber...

Six patients with cerebral tuberculoma seen over a 2 year period are reported. Their clinical presentations, the result of investigations including radiological findings and their response to medical treatment are discussed and correlated with other reports in the literature. Eighty five percent of the patients were above the age of 30 years. All patients had negative past history of tuberculos...

Brain tuberculoma has previously accounted for up to a third of new intracranial lesions in areas endemic with tuberculosis, but is unexpected in the United States and other Western countries with improved disease control. Here we show the importance of considering this diagnosis in at-risk patients, even with no definitive pulmonary involvement. We describe a young man who presented with parti...

A bacteriologically confirmed case of tuberculous abscess of the brain is reported. Tuberculous brain abscess unlike tuberculoma does not exhibit the typical granulomatous changes and the diagnosis is confirmed by demonstration of tubercle bacilli either by staining or culture. An antituberculous regime should be started immediately the diagnosis has been established.

Five decades of tuberculosis control programs using potentially effective medications have been unsuccessful in diminishing the prevalence of the infection in most parts of the world and tuberculosis continues to kill all age groups.1 Tuberculosis may manifest with atypical clinical manifestations and delayed diagnosis may give rise to unexpected grave outcomes. As a result, high degree of clin...