There were no intraoperative or post-operative complications. Excision of tuberculoma was planned and a left fronto-temporoparietal craniotomy with excision of tuberculoma in temporoparietal region with duroplasty was done five days following caesarean section. The patient was started on antitubercular drugs. It may occur in both, the supratentorial and infratentorial compartments. Patients may present with signs of raised intracranial pressure or with localizing signs and symptoms.
Tubercular aetiology is difficult to prove.
Diagnosis at times is based on a history of contact in the family or a positive tuberculin test. The diagnosis is more difficult during pregnancy. More commonly eclampsia becomes the presumptive diagnosis in patients with convulsions during pregnancy, unless other differential diagnosis are kept in mind and specifically looked for. It is possible to differentiate a tuberculoma from other neoplastic lesions in the brain which may give rise to a similar clinical presentation. On a CT scan, an increased attenuation, an isodense ring or a disc lesion with perilesional oedema which persists for few weeks and is not a post ictal phenomenon strongly suggests the diagnosis of a tuberculoma.