Presentation
Headaches, vomiting, and deterioration of the level of consciousness.
Patient Data
There are multiple lesions, two in the right cerebellum, and three in supratentorial location (right parietal parasagittal, left thalamic, and left temporal posterior region). They are of low signal on T1WI and T2WI with surrounding vasogenic edema. The postcontrast sequence shows peripheral ring enhancement of the smaller lesions and a cluster of ring enhancement of the largest lesions. No significant mass effect on the midline structures.
Significant improvement with a decrease in size of the tuberculous granulomas at both infra-and supratentorial levels.
Case Discussion
Case showing the MRI features of cerebral tuberculomas (or tuberculous granulomas).
The CSF analysis with culture was positive (tuberculous bacilli)
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