Tuberculoma

Clinical Manifestations

• Often asymptomatic
• In CNS, may present with headache, seizures, or focal neurological deficits

Differential Diagnosis

• Neurocysticercosis

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