Central Nervous System Tuberculoma Complicated with Spinal Arachnoiditis in Immunocompetent Patient

BACKGROUND: Central nervous system (CNS) tuberculosis (TB) can manifest as meningitis, abscess, tuberculoma or other manifestations. CNS TB is a rare TB complication, and its diagnosis remains a challenge since it has clinical and imaging features that resemble other diseases. The antituberculosis treatment has a significant role in determining a patient’s outcome and prevent complications and mortality. CASE PRESENTATION: Here, we report a case of CNS TB manifested as tuberculoma in immunocompetent patient complicated with spinal arachnoiditis. Despite a treatment delay, the patient still showed clinical improvement after proper treatment with a combination of antituberculosis drug and corticosteroid. CONCLUSION: Central Nervous System Tuberculoma Complicated with Spinal Arachnoiditis in Immunocompetent Patient CNS tuberculoma is a rare CNS TB manifestation, and its diagnosis remain a challenge since its clinical symptoms and radiological findings could mimic other cases such as malignancy, pyogenic abscess, toxoplasmosis, sarcoidosis, or neurocysticercosis.