Miliary brain tuberculomas are very rare even in areas tuberculosis is endemic. Intra-medullary tuberculomas are rare and constitute only 0.2-5% of all CNS tuberculomas. The combination of intracranial and intramedullary tuberculomas is extremely rare and only a few cases have been reported in the literature so far.
We report a very rare case of miliary brain tuberculoma with approximately 40 small lesions 2 to 4 mm in diameter, concomitant with intramedullary conus tuberculoma. The literature is reviewed.
Associated brain miliary and intramedullary tuberculoma can be symptomatic, but sometimes can be a radiological incidental finding. We believe that craniospinal MRI screening must be done in diffuse tuberculomas.
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