A 56-year-old lifelong Manhattan (New York City, New York) resident presented with 4 months of bifrontal recumbent headaches, 3 weeks of morning emesis, and 2 weeks of photophobia and vertigo. For her initial headaches, she had unremarkable findings on a noncontrast computed tomographic scan of the brain. Four months before presentation, she had a 6-week hospitalization for myocardial infarction complicated by ventricular tachycardia and a 36-kg weight loss; her weight remained at 81 kg thereafter. She had no cough, constitutional symptoms, identifiable human immunodeficiency virus risk factors, or tuberculosis exposures.
Etienne M, Noble JM. Multiple Parenchymal Tuberculomas Without Tuberculous Meningitis. Arch Neurol. 2007;64(7):1045-1047. doi:10.1001/archneur.64.7.1045