Abstract
Intracranial tuberculomas are uncommon yet devastating forms of extrapulmonary tuberculosis with a high mortality rate and morbidity risk. A high level of suspicion is required for a prompt diagnosis and treatment.
A 67-year-old male, medically free, presented at the Emergency Department with a 1-day history of nausea and vomiting, and a 15-day history of imbalance and dizziness. Radiological imaging demonstrated right well-defined ring-enhancing lesions. He underwent a sup-occipital craniotomy with lesion resection. The diagnosis of an intracranial tuberculoma was confirmed histopathologically. Anti-tuberculosis therapy was prescribed, and the patient was discharged with mild cerebellar dysfunction.
Intracranial tuberculomas have a high rate of mortality and morbidity. It is critical to consider tuberculoma in the differential diagnosis of intracranial lesions with such clinico-radiological characteristics, especially in developing countries.
In this article, we are reporting an interesting case with multiple intracranial tuberculomas with an extensive review of the literature.
•Fever and leukocytosis can be absent upon the initial presentation of intracranial tuberculomas.•Immunocompetent patients can present with intracranial tuberculoma as the initial presentation of tuberculosis.•Intracranial tuberculoma can present as single/multiple lesion/s with radiological appearance similar to intracranial neoplasms.•The indistinct radiological findings of intracranial tuberculoma can be due to the different stages of maturation.