Background
- Cerebral tuberculomas are more common in patients with HIV
Clinical Manifestations
- Often asymptomatic
- Most commonly presents in conjunction with tuberculous meningitis, though can present alone
- In CNS, may present with headache, seizures, or focal neurological deficits
Differential Diagnosis
Diagnosis
- Based on imaging, with ring-enhancing lesion with surrounding edema
- If there is uncertainty about the diagnosis, may need biopsy
Management
- Manage per primary diagnosis, with at least 6 months of standard therapy
- Dexamethasone can be considered for CNS tuberculoma with surrounding vasogenic edema and neurologic symptoms
