• Getachew Assefa AAU,COHS,SOM,department of Radiology
  • Fathia Omar Department of Radiology
  • Hagos Biluts AAU,COHS,SOM,department of surgery
  • Mersha Abebe AAU,COHS,SOM,department of surgery



Background: Ethiopia is one of the countries that has high burden of all forms of tuberculosis and there is no published report on computerized tomography  scan and/or magnetic resonance imaging of intracranial tuberculomas.

Objective : to review the  clinical, computerized tomography and/or magnetic resonance imaging features  of intracranial tuberculoma

Methods: A retrospective review of patient’s medical records of patients operated for intracranial mass that had computerized tomography and/or magnetic resonance imaging brain scans and had histopathological diagnoses, at Tikur Anbessa Specialized Hospital between January 2009 and June 2013.

Results: Of 222 operated cases of intracranial mass subjected to histopathological test 29 (14.6%) were found to  have tuberculomas, 28 (14.1%) had caseous necrosis and one was a tuberculous abscess, in 25 cases  imaging was available for review and were included in the study . There were 15 males and 10 females with age range being 2 to 65 years and with the Median age being 13 years. Twenty patients had computerized tomography and five patients had magnetic resonance imaging. Seizure 15/25 (60%) and headache 11/25 (44%) were the commonest presentation. Solitary or confluent large lesions were seen in 12/25 (48%) of patients. 14/25 (56%) of the lesions had their size between 2 cm and 5 cm. Majority of the lesions 15/25 (60%) were in the frontal and parietal lobes. The lesions were isodense on CT in 18/25 (72%) of the pre-contrast studies and 21/25 (84%) showed ring or rim enhancement after intravenous administration of the contrast medium.

Conclusion: Tuberculoma, more frequently, presented with non-specific clinical findings and chronic seizure disorder and comonly occurred in young patients and often seen infratentorialy. It is often complicated with hydrocephalus in the pediatric age group. Computerized tomography scan and/or magnetic resonance imaging features are not different from reports from other countries.

Key Words: Intracranial Tuberculoma, computerized tomography, magnetic resonance imaging, Ethiopia


Author Biographies

Getachew Assefa, AAU,COHS,SOM,department of Radiology

COHS, SOM,Department of Radiology,Radiology,Associate Professor

Fathia Omar, Department of Radiology

COHS, SOM,Department of Radiology, Radiology resident

Hagos Biluts, AAU,COHS,SOM,department of surgery

AAU,COHS,SOM,Department of surgery, neurosurgery unit ,Associate professor in Neurosurgeon and G. Surgeon

Mersha Abebe, AAU,COHS,SOM,department of surgery

AAU,COHS,SOM,Department of surgery, neurosurgery unit ,Assistant professor in Neurosurgeon and G. Surgeon



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Original Article