Intracranial tubercular granuloma

Case contributed by Prashant Mudgal
Diagnosis almost certain

Presentation

h/o headache, epileptic episodes and known case of pulmonary tuberculosis

Patient Data

Age: 25 years old
Gender: Male

There is an abnormal ring enhancing lesion which is isointense to gray matter involving the left inferior frontal gyrus and surrounded by vasogenic edema

In a known case of tuberculosis the lesion is suggestive of a tuberculoma.

Case Discussion

Brain tuberculoma, a space-occupying mass of granulomatous tissue,forms a large percentage of intracranial mass lesions in the developing countries and is responsible for high morbidity and mortality. Earlier recognition and treatment of this condition on imaging may play a critical role in patient management.

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