Intramedullary Tuberculoma Concomitant with Intracerebral Disseminated Tuberculoma

Disseminated tuberculosis to the brain and spine may present before typical tuberculosis systemic symptoms manifest. We present a case where a patient presented with progressive paraplegia and change in mental status. Imaging revealed a thoracic tuberculoma and disseminated disease to the brain. Conservative treatment was initiated with improvement in sensorium. Due to lack of surgical success in the literature for tuberculoma resection and 14 day delay in presentation to our institution from onset of paraplegia surgical intervention was not considered for this patient.