Tuberculoma as Glioma: A Disguiser in Healthy Children—A Case Report

Tuberculosis still remains one of the major public health problem globally despite tremendous advancement in the field of medicine. The international union against tuberculosis and lung disease has rightly termed childhood tuberculosis as a “silent epidemic”, causing increased morbidity and mortality in children. The diagnosis of Central nervous system (CNS)Tuberculoma in a healthy child is always challenging despite advancements in imaging and laboratory techniques, because of their nonspecific findings making a big diagnostic dilemma to the treating physician. It is always misdiagnosed with other space occupying lesions such as glioma. Early diagnosis is very essential as the management is completely different for non-tuberculous space occupying masses. Tuberculoma is comparatively easily treatable with medications alone when diagnosed early, compared to other space occupying lesions which most often require surgery. Hereby we report a five-year-old child who was initially diagnosed to have glioma and taken for surgical intervention was later confirmed to have tuberculoma and was started on Antituberculosis treatment (ATT).