J Nepal Health Res Counc 2020 Apr 20;18(1):138-141. Epub 2020 Apr 20.
Department of Ophthalmology, Neuro Cardio and Multispecialty Hospital, Jahada Road, Biratnagar, Nepal.
Cerebral tuberculoma of the brain are uncommon presentation of tuberculosis (1%). A 17-year female presented to the emergency with a Glasgow Coma Score of (eye-1, verbal-1 and motor-3), 5/15 bilateral fixed pupils with laborious breathing. The radiological features were suggestive of aintracerebral abscess/ glioma. Intraoperatively the brain was very tense and a large, vascular, mass was present that was excised completely. Her histopathology revealed features of tuberculoma and she was started on anti-tubercular treatment. She is discharged home with regular follow-up for the last 10 months.Cerebral tuberculoma although uncommon should be thought of in developing countries as differential of cystic enhancing lesions of the brain. Keywords: Abscess; central nervous system; glioma; tuberculoma; tuberculosis.