Intracranial tubercular granuloma
h/o headache, epileptic episodes and known case of pulmonary tuberculosis
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There is an abnormal ring enhancing lesion which is isointense to gray matter involving the left inferior frontal gyrus and surrounded by vasogenic edema
In a known case of tuberculosis the lesion is suggestive of a tuberculoma.
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.