22 November 2010

Tuberculoma

Young woman from Africa that has experienced vision abnormalities few months postpartum. MRI shows strongly enhancing extraaxial nodule parietoocipital with significant surrounding edema. There is also increased meningeal enhancement. Open biopsy has revealed granulomatous tissue that has been confirmed by pathology to be Tuberculoma. Lesion like this has large differential diagnosis that includes sarcoidosis, meningioma, metastasis. This case shows that Tuberculoma is a pathology that can be common in endemic regions and should not be forgotten by radiologist.