Cranial epidural tuberculoma - A case report

A 33-year-old patient with cranial epidural tuberculoma without history of tuberculosis is described. CT and MR imaging showed a lesion located on bot h sides of a right frontotemporal bone destruction with epidural extent. Ex cept for a small necrotic core, the lesion enhanced intensely after contras t medium administration. Osteitis and subgaleal abscess were associated. Th e displaced dura mater delineated the epidural tuberculoma. Diagnosis was v erified by histology and identification of Mycobacterium tuberculosis. Afte r removal of the tuberculoma and combination therapy, there was a complete regression of abnormalities. Differential diagnoses are dural tuberculoma, focal tuberculous pachymeningitis and tuberculous epidural empyema.