Multiple Intracranial Tuberculomas: Diagnosis Difficulties in a Clinical Case

Intracranial tuberculoma is the second most common manifestation of central nervous system (CNS) involvement in immunocompetent tuberculosis (TB) patients and the major cause of death and disability in developing countries due to diagnostic difficulties. Tuberculosis is the most common infectious cause of CNS space-occupying lesions (SOLs) in Indonesia. However, we should consider other infectious causes for the differential diagnosis of CNS SOLs. Clinical presentations, histopathological and microbiological findings of brain biopsy specimens may confirm intracranial tuberculoma diagnosis. We discuss a case of multiple intracranial tuberculomas in a 23-year-old female with diagnosis difficulties at the early stage of illness.