Intracranial tuberculoma

Intracranial tuberculomas are rare in industrialized countries, but remain significant in developing nations. Extraneural disease or a past history of tuberculosis are evident in fewer than 50% of patients. The common presenting signs and symptoms are intracranial hypertension and papilledema. The diagnosis is now established by angiography or computerized tomography (CT). Current treatment consists of isoniazid, rifampin, and ethambutol or streptomycin, and surgery is reserved for medical failures.