Brain tuberculoma in a non-endemic area

Area of Science:

• Neurology
• Infectious Diseases
• Neurosurgery

Background:

• Tuberculosis (TB) is re-emerging in Western countries.
• Intracranial tuberculoma is an uncommon cause of brain lesions in these regions.
• Improved TB control has made this diagnosis unexpected.

Observation:

• A young man presented with partial seizures.
• He was diagnosed with a frontoparietal tuberculoma.
• No definitive pulmonary tuberculosis was identified.

Findings:

• Surgical resection of the tuberculoma was performed.
• The patient completed six months of antituberculosis therapy.
• He showed no neurological sequelae or recurrence five months post-therapy.

Implications:

• Intracerebral tuberculoma must be considered in at-risk patients with new space-occupying brain lesions.
• Surgical management and antituberculosis therapy are effective treatments.
• This approach can prevent neurological deficits and recurrence.