title: [Intracranial tuberculoma mimicking malignant tumour].
abstract: BACKGROUND
  Tuberculous involvement of the central nervous system is uncommon in western countries. Brain tuberculoma is a granulomatous inflammatory process than in rare occasions can simulate a malignant neoplasm.
  
  
  METHODS
  A 81-year-old man regarding symptoms of several weeks of evolution of numbness affecting upper limb and right face. The neuroimaging studies showed a left parietal lesion suggestive of a primary malignant tumor. A stereotactic biopsy was performed and the pathological examination showed a brain tuberculoma. The patient was treated with anti-tuberculous drugs.
  
  
  CONCLUSIONS
  Parenchymal central nervous system tuberculosis are rare in our medio and may present as a space-occupying lesion with complex neuroimaging morphology suggesting a malignant neoplasm. Definitive diagnosis was performed with neuropathological studies or with the demonstration of acid-fast bacilli in the tuberculoma.
authors.affiliation: Servicio de Neurocirugía, Hospital Clínico Universitario, Departamento de Cirugía, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
authors.forename: María
authors.initials: M
authors.lastname: Rico-Cotelo
authors.forename: Ramón
authors.initials: R
authors.lastname: Serramito-García
authors.forename: Eduardo
authors.initials: E
authors.lastname: Arán-Echabe
authors.forename: Miguel
authors.initials: M
authors.lastname: Gelabert-González
mesh_terms: D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D001932:Brain Neoplasms / Q000175:diagnosis*; D003287:Contrast Media; D003951:Diagnostic Errors; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010292:Paresthesia / Q000209:etiology; D010296:Parietal Lobe / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents; D003287:Contrast Media