Radiographic findings in tuberculosis of the calvarium

We reviewed the pattern of involvement of the calvarium by tuberculosis (TB ) in five patients and the role of imaging in its management. Four patients presented with localised scalp swelling and one with generalized seizures. Radiographs revealed lucent lesions with minimal surrounding sclerosis in the frontal (2), parietal (2) and occipital (1) bones. CT showed lesions in volving the entire thickness of the calvarium and accompanying contrast-enh ancing soft tissue. The patient presenting with seizures had a ring-enhanci ng lesion in the parietal lobe in addition to the extra-axial lesions. Alth ough radiographs in all cases demonstrated calvarial TB, CT showed the exte nt of the defect, involvement of adjacent soft tissues, and in one case an intra-axial lesion. Radiographs suffice for follow-up of these patients.