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improvement and resolution of the lesion in the brain
as well as spinal cord as seen on the MRI [Figure 7]
after the institution of 12 months (2 months intensive
phase + 10 months of continuation phase) using
anti-tuberculous treatment along with dexamethasone
in intensive phase confirmed our diagnosis.

In conclusion, we report a case of concurrent occurrence
of intramedullary and intracranial tuberculomas in a
patient of military tuberculosis. This case is being
presented because of extreme rarity. Medical therapy
is generally advocated as the initial treatment.

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neoplastic lesions such as astrocytoma, metastasis or Cite this article as: Diguvinti S, Damam S, Ubara KK, Dara C. Concurrent
lymphoma. In this case, the clinical presentation and occurrence of both intracranial and intramedullary tuberculomas.
size of the lesion combined with the classical ring Neuroimmunol Neuroinflammation 2015;2(2):118-20.
enhancement and surrounding edema was thought Source of Support: Nil. Conflict of Interest: No.
to be typical of a tuberculous granuloma. Clinical Received: 17-09-2014; Accepted: 14-10-2014

120 Neuroimmunol Neuroinflammation | Volume 2 | Issue 2 | April 15, 2015