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Updated: Mar 26, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
Frontal lobe tuberculoma
Noella Maria Delia Pereira1, Ira Shah1, Naresh Biyani2
1Department of Pediatrics , Bai Jerbai Wadia Hospital for Children , Mumbai , India.
Insights
This case study highlights a rare instance of a supratentorial tuberculoma in a pediatric patient. Prompt treatment with antitubercular therapy (ATT) and steroids led to significant clinical improvement and lesion reduction.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Neuroimaging
Background:
- Tuberculomas, a form of extrapulmonary tuberculosis, typically present infratentorially in children.
- Supratentorial lesions are more common in adult patients with tuberculomas.
- This case presents an atypical supratentorial location in a pediatric patient.
Abstract:
Tuberculomas are usually infratentorial in children, and supratentorial lesions predominate in adults. We present a 4-year-old girl with multiple seizures, papilloedema and brisk reflexes. On investigation, she was found to have a large left parafalcine tuberculoma. She was treated with antitubercular treatment (ATT) and steroids. The child improved, seizures stopped and the papilloedema gradually disappeared. Follow-up magnetic resonance imaging brain after 8 months showed a mild reduction in the size of the lesion. Child is on regular follow-up.
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