Question 2264
{"accessible":false,"alternatives":[{"id":11215,"text":"presence of calcification essentially excludes the diagnosis"},{"id":11216,"text":"to make the diagnosis mycobacterial organisms need to be identified"},{"id":11217,"text":"typically have granulomatous reaction and caseous necrosis"},{"id":11218,"text":"usually have liquid near-CSF centers"}],"archived":false,"correctAlternativeId":11217,"explanation":"\u003cp\u003eA tuberculoma is distinct from a\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/intracranial-tuberculous-abscess\"\u003etuberculous abscess\u003c/a\u003e\u0026nbsp;in that it demonstrates evidence of\u0026nbsp;granulomatous reaction\u0026nbsp;and caseous necrosis histologically. In contrast, abscesses do not display a granulomatous reaction and their centers are filled with pus. Not all tuberculomas, however,\u0026nbsp;have a solid granulomatous core and some may undergo liquefaction.\u0026nbsp; Tuberculous organisms may not necessarily be identified in tuberculomas, whereas they are necessary to make the diagnosis of a tuberculous abscess.\u003c/p\u003e\u003cp\u003eCalcification is present in a minority of cases and\u0026nbsp;tends to be larger than that calcification seen in neurocysticercosis.\u0026nbsp;\u003c/p\u003e","id":2264,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2838","nextQuestionPath":null,"relatedArticles":[{"id":38243,"title":"Intracranial tuberculous granuloma","link":"/articles/intracranial-tuberculous-granuloma?lang=us"}],"alsoUsedIn":[{"id":1177,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1177","link":"https://radiopaedia.org/courses/adult-neuroradiology-review-course/pages/1177"},{"id":1177,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1177","link":"https://radiopaedia.org/courses/adult-brain-mri-review-course-2015-online-video/pages/1177"}],"stem":"\u003cp\u003eWhich of the following statements is\u0026nbsp;\u003cstrong\u003eTRUE\u003c/strong\u003e\u0026nbsp;regarding cerebral tuberculomas?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2264"}],"attemptsPercentages":[{"alternativeId":"11218","percentage":9},{"alternativeId":"11217","percentage":70},{"alternativeId":"11215","percentage":4},{"alternativeId":"11216","percentage":17}],"promptToLogin":false,"questionManager":false,"articleId":"tuberculosis-intracranial-manifestations"}