Tubercular granuloma

Case contributed by Prashant Mudgal
Diagnosis almost certain

Presentation

25 year old lady presented with epileptic fits. Patient is a known case of pulmonary tuberculosis.

Patient Data

Age: 25 year
Gender: Female
mri
Axial
T1
Axial
T2
Axial
FLAIR
Axial
SWI
Axial
T1 C+
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Info

Abnormal ring enhancing lesion which is isointense to gray matter involving the left superior frontal gyrus and surrounded by vasogenic edema

In a known case of tuberculosis the lesion is suggestive of a tuberculoma.

Case Discussion

Brain tuberculoma, a space-occupying mass of granulomatous tissue,forms a large percentage of intracranial mass lesions in the developing countries and is responsible for high morbidity and mortality. Earlier recognition and treatment of this condition on imaging may play a critical role in patient management.

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