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Images in Neurology
July 2007

Multiple Parenchymal Tuberculomas Without Tuberculous Meningitis

Arch Neurol. 2007;64(7):1045-1047. doi:10.1001/archneur.64.7.1045

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.