Intracranial tubercular granuloma

Discussion:

This patient is a known case of pulmonary tuberculosis, who has not completed the treatment.

Intracranial tuberculomas are space occupying lesions that result from hematogenous spread of primary infection from a distant focus. Histologically the central iso or hypointense area contains caseous necrosis surrounded by a capsule (enhancing) made up of fibroblasts, epithelioid cells, Langhans giant cells and lymphocytes. 

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