| Summary: | Cerebral tuberculomas are extrapulmonary manifestations of tuberculosis, which may be absent or be very subtle in about 50% of patients who suffer from it. It is predominant in developing countries and currently there is an increase of it with the advent of acquired immunodeficiency syndrome. A patient who comes to the outpatient office due to late epilepsy is presented. He had no history of tuberculosis, and was diagnosed, by computerized axial tomography, a right parietal mass lesion that by its aspect seemed a brain metastasis. The surgical procedure was performed and the biopsy showed the diagnosis of cerebral tuberculoma. This is a rare case of a patient with a cerebral tuberculoma and no history of having suffered from tuberculosis. This finding led to consider surgery as a first choice, although the literature reviewed recommends an initially medical treatment.
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