RARE PRESENTATION OF EXTRA PULMONARY TB AS MULTIPLE INTRA CRANIAL TUBERCULOMAS- A CASE REPORT

TB of CNS is an uncommon yet highly devastating manifestation of TB. It has a hematogenous spread manifesting as meningitis, cerebritis,TB abscess, Tuberculomas and spinal arachnoiditis. We are reporting a case of 26yr old female person presented with short duration of headache, vomiting, neck pain and altered sensorium .Examination revealed left eye Ptosis and right sided classical hemiplegia . Investigations revealed multiple intracranial tuberculomas in MRI brain and feautures suggestive of miliary TB on CTchest . Multiple tuberculomas are rare presentation of intracranial TB and prognosis is poor in patients with multiple tuberculomas . But in our case clinical improvement is observed with Anti Tubercular Therapy