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Intracranial tuberculoma

Case report and review of the literature

Columbia University College of Physicians and Surgeons, New York, NY.

Intracranial tuberculomas are rare in industrialized countries, but remain significant in developing nations. Extraneural disease or a past history of tuberculosis are evident in fewer than 50% of patients. The common presenting signs and symptoms are intracranial hypertension and papilledema. The diagnosis is now established by angiography or computerized tomography (CT). Current treatment consists of isoniazid, rifampin, and ethambutol or streptomycin, and surgery is reserved for medical failures.

Address correspondence and reprint requests to Dr. DeAngelis, Neurological Institute, 710 West 168 Street, New York, NY 10032.

Abridged because of space limitations from presentation as the G. Milton Shy Award Essay at the thirty-second annual meeting of the American Academy of Neurology, New Orleans, LA, April 1980.

Accepted for publication July 5, 1980.

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