Intracranial Tuberculoma Manifesting as Progressive Limb Weakness

Abstract

A 37-year-old man presented with a progressive right limbs weakness with numbness for 1 month. Brain computed tomography scans revealed a lesion with peripheral swelling in the left thalamus. A craniotomy for evacuation of the brain tumor was performed, and an intracranial tuberculoma was made based on pathological result. The patient's neurological deficits were reversed with surgical intervention. No definite evidence of residual or recurrent foci was noted on brain magnetic resonance imaging after a six-month course of antituberculosis medication. This is an uncommon manifestation of tuberculosis infection in the central nervous system in Taiwan. This case gives the neurosurgeon the suspicion of a rare presentation of space-occupying lesion causing hemiplegia in the patient.