A 47-year-old German female patient is described with intracranial tub
erculoma of the dura mater without history or evidence of tuberculosis
and a negative tuberculin reaction. Computed tomography and magnetic
resonance imaging and angiography resembled a meningioma. Diagnosis wa
s verified by histology and identification of mycobacterium tuberculos
is. After removal of the granuloma and high-dose chemotherapy, the pat
ient was free of disease, Tuberculoma of the dura mater is an extremel
y rare disease in the Western European population.