Paradoxical Expansion of Cerebral Tuberculomas during Therapy for Pott's Spine

Cerebral tuberculoma is the commonest extrapulmonary lesion in tuberculosis, presenting with symptoms of an intracranial space occupying lesion. Computed tomography (CT) has been a major advance in its diagnosis and management'. For unknown reasons, these tuberculomas sometimes become manifest, or expand, during successful treatment for tuberculosis elsewhere in the bodyl-s. So far, only about 20 cases have been described, and we think that the following case is the first of its kind to be reported from India, though the country is flooded with tuberculosis.