Tuberculoma masquerading as a meningioma. Case report

Area of Science:

• Neurology
• Infectious Diseases
• Radiology

Background:

• Intracranial tuberculomas are rare infections caused by Mycobacterium tuberculosis.
• They can present with diverse neurological symptoms and imaging findings.
• Distinguishing them from primary brain tumors is crucial for appropriate management.

Observation:

• A case report detailing a patient with an intracranial lesion.
• The lesion, located in the frontal fossa, exhibited clinical and radiological characteristics similar to a meningioma.
• The lesion was initially misdiagnosed as a meningioma based on its presentation.

Findings:

• The case highlights the potential for intracranial tuberculomas to mimic common intracranial tumors.
• Radiological and clinical features can be misleading, necessitating a high index of suspicion.
• Histopathological examination is essential for definitive diagnosis.

Implications:

• This case underscores the importance of considering infectious etiologies, such as tuberculomas, in the differential diagnosis of intracranial masses.
• Early and accurate diagnosis of intracranial tuberculomas can prevent delayed treatment and improve patient outcomes.
• Neuroimaging findings suggestive of meningioma should prompt consideration of atypical diagnoses in endemic areas.