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How should one get treated for tuberculoma?

Q: I am suffering from tuberculoma (a mass lesion in the left tectum of midbrain) since the last 3 years and I have taken AKT for 2 years but now also I have headache so what should I do? The doctor said that if the problem increases, I will have to go in for biopsy surgery. What do I do?

A:Tuberculoma is a bacterial infection of the brain caused by Mycobacterium tuberculosis. The specific diagnosis of the condition continues to remain a problem and is based on clinical evaluation and diagnostic methods such as imaging methods and laboratory tests. Hence you need clinical re-evaluation to confirm the diagnosis of tuberculoma. Neurocysticercosis is another condition, which needs to be ruled out. I would advise you to have a second opinion from a neurologist.

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