DOI: 10.36347/sjmcr.2017.v05i10.003

Pages: 610-612

A 16-year-old healthy girl presented with headache, nausea and vomiting with double vision for three weeks. On ocular examination, there was right esotropia with bilateral papilloedema. Magnetic resonance imaging (MRI) brain showed multiple small ring enhancing nodules with perilesional edema in brain stem and cerebral and cerebellar hemisphere. All the works up for infection, inflammation and malignancies were negative. On the basis of MRI and endemicity of tuberculosis in Malaysia, she was diagnosed as a case of brain tuberculoma and treated with anti-tubercular drugs and had complete amelioration of symptoms at three months of follow up.