Summary

Tuberculosis is highly prevalent in developing countries. Meningitis is by far the most frequent manifestation of tuberculosis in the central nervous system. Infrequently they may present as intracranial masses. Intracranial tuberculomas, either multiple or single, pose great diagnostic challenge because the appearance may resemble many other non-infectious and infectious conditions and particularly in patients without constitutional symptoms or evidence of tuberculosis elsewhere in the body. Here the author highlights an unusual presentation of intracranial tuberculomas in the form of pseudodementia where other constitutional symptoms were absent.