천막 수막종으로 오인했던 결핵종의 치료

Tuberculoma mimicking a tentorial meningioma

We report the case of a 44-year-old woman who presented with a headache and right sixth cranial nerve palsy. The lesion mimicked a tentorial meningioma in the brain and was investigated using computed tomography and magnetic resonance imaging. Gross total resection was achieved using a subtemporal approach. Histologic examination of the mass revealed the typical tuberculoma such as granulomas with caseous necrosis. Postoperative antituberculous medication led to complete resolution of neurological symptoms and radiological examinations. Intracranial tuberculoma is an uncommon disease. Early diagnosis and adequate treatment is important in postoperative prognosis.