Tuberculous Meningoencephalitis (TBM) is an infectious disease of the central nervous system caused by Mycobacterium tuberculosis. It mainly involves meninges and brain parenchyma, as well spinal cord meninges. The spectrum complications TBM includes hydrocephalus, tuberculoma formation stroke. Stroke secondary to can cause irreversible damage lead poor clinical outcomes. diagnosis challenging ...

SUMMARY Tuberculoma of the central nervous system is one of the rare and unusual form of Tuberculous in Iranian children, that often present with mass lesion. This is report A 14 months old boy, admitted because ahd fever, irritability, anorexics had right side hemiplegia for two months. Positive finding was tuberculin test and CT brain scan with 2 hyperdenc mass (Ring Shaped) in the posto-m...

The most common radiological abnormality seen in young Indian patients with epilepsy is single small enhancing (ring/disc) computed tomographic (CT) lesions. The two most common differential diagnosis of this lesion in clinical practice include neurocysticercosis (NCC) and tuberculomas. They have similar clinical and neuroimaging features. Few researchers believe that in poor and developing cou...

1. Kioumehr F, Dadsetan MR, Rooholamini SA, Au A. Central nervous system tuberculosis: MRI. Neuroradiology 1994;36:93-6. 2. Shen WC, Cheng TY, Lee SK, Ho YJ, Lee KR. Disseminated tuberculomas in spinal cord and brain demonstrated by MRI with gadolinium-DTPA. Neuroradiology 1993;35:213-5. 3. Parmar H, Shah J, Patkar D, Varma R. Intramedullary tuberculomas. MR findings in seven patients. Acta Rad...

We report a 4 year old girl with ring enhancing lesions in brain CT, initially diagnosed as neurocysticercosis but did not respond to cysticidal therapy. A Magnetic resonance spectropscopy (MRS) revealed lipid peaks suggestive of tuberculoma which was successfully treated with antituberculosis therapy. This report highlights the role of MRS in the diagnosis of ring enhancing lesios.

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 th...