ObjectiveTo analyze the clinical features and magnetic resonance imaging (MRI) findings of intracranial tuberculomas retrospectively. Materials and methodsBrain MRIs in ten patients with intracranial tuberculomas were retrospectively reviewed. The diagnosis of tuberculoma was based on the histopathology or effects of anti-tuberculosis therapy. The clinical data and MRI findings of these ten patients were analyzed retrospectively. ResultsOur patients consisted of six women and four men, with age ranged from 12 to 54 years old. The clinical data, such as symptoms and signs, CSF examination, evidence of extral-CNS tuberculosis and immunocompetency, were discussed. Brain MRI data had been acquired from these patients. One (10%) patient had solitary lesion and nine (90%) patients had multiple lesions. Six (60%) patients had both supra- and infra-tentorial tuberculomas, and four (40%) had only supratentorial lesions. The majority of tuberculomas were located at the corticomedullary junction. The lesions were between 0.2 cm and 4.5 cm in size. MRI signals of tuberculomas varied depending on their stages of maturation. Peripheral edema was found surrounding some tuberculomas. There was accompanying meningitis in four patients, hydrocephalus in five, and unilateral or bilateral basal ganglia infarction in six. ConclusionMRI can objectively reveal the imaging characteristics of intracranial tuberculomas and accompanying abnormalities. By combining MRI with the clinical features, the diagnostic accuracy of intracranial tuberculomas can be improved.