Thank you for posting your query.
Sometimes, it is not possible to distinguish between tuberculoma
(TB infection) and neurocysticercosis
) on MRI brain. There are certain features such as size more than 2 cm, too much edema (swelling in brain), focal neurological deficits (such a weakness of arms or legs, etc), which may favour a diagnosis of tuberculoma.
However, in many cases, we are forced to start treatment for either TB or tapeworm infection on empirical basis. Repeat scan after three months help us. If the size of lesion decreases, then good. If the size increases, then a biopsy
(a small surgical procedure) of the brain lesion is done.
TB medications are safe. However, liver
function test and eye check up may be required to look for side effects.
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist