Tuberculosis still highly prevalent in developing countries commonly affects the lungs. Central nervous system (CNS) involvement in tuberculosis is common in India but tuberculoma a manifestation of tuberculosis which mimics a tumor is not common.¹ most of the CNS tuberculoma presents with seizures or focal signs . here we presents an elderly female with acute CVA with right sided hemiparesis .computed tomography of the brain showed a hyperdense lesion in the left pons. Further contrast enhanced MRI brain revealed left pontine tuberculoma. There are few case reports of tuberculoma presenting as acute stroke.

Keywords: Stroke, brain stem, tuberculoma.

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Dr Manomenane.M

Post Graduate, Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital