Intracranial tuberculomas: correlation of computerized tomography with clinico-pathological findings

Ten patients with intracranial tuberculomas, seen between 1976 and 1980, are described. Four Indian immigrants presented with features of space-occupation and responded well to supervised adequate combined anti-tuberculous chemotherapy. Six patients, four of whom were English, developed tuberculomas in the course of tuberculous meningitis; three of these six patients died, highlighting the dangers of this complication if infection is not promptly and adequately dealt with at presentation. The value of computerized tomography in the diagnosis and management of such patients is emphasized, and the persistence of intracranial tuberculous infection in Britain is stressed.