Shallini Mittal Clinical Director and HOD, Department of Radiology, Marengo Asia Hospitals, Gurugram, Haryana, India
Rashmi Bhardwaj Senior Consultant & HOD, Pediatric Intenstuce Care Unit, Marengo Asia Hospitals, Gurugram, Haryana, India
Nikita Jajodia Research Manager, Marengo Asia Hospitals, Gurugram, Haryana, India
Shibani Saluja Associate Consultant, Department of Radiodialogy, Marengo Asia Hospitals, Gurugram, Haryana, India
Krishan Kumar Yadav Professor & Clinical Director- Neurosurgery & Neurospine Surgery, Marengo Asia Hospitals, Gurugram, Haryana, India
Address for correspondence: Shallini Mittal, Clinical Director and HOD, Department of Radiology, Marengo Asia Hospitals, Gurugram, Haryana, India E-mail: mittaldrshallini@gmail.com
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Shallini Mittal, Rashmi Bhardwaj, Nikita Jajodia et. al, Cerebellar Tuberculoma mimicking Ganglioglioma in a pediatric patient: A Case reporting discordance of pathology-radiological imaging. Int. J Neuro Neurosurgery. 2026; 18(2): 68-72.
Timeline
Received : May 25, 2026
Accepted : July 30, 2026
Published : August 30, 2026
Abstract
Introduction: Tuberculomas are most common lesions in India and can closely mimic neoplastic lesion, as ganglioglioma on imaging. Case Report: A 9-year-old female presented with severe headache in emergency department. Hence, she was referred to radiology department of MRI BRAIN and orbit imaging considering possibility of intracranial hypertension. On MRI, a solid-enhancing left cerebellar lesion was seen and it favored ganglioglioma. Patient was undertaken for the surgery, her histopathology suggested necrotizing granulomatous inflammation consistent with tuberculoma with no evidence of BIH. Conclusion: Cerebellar tuberculoma can present atypically and mimic neoplasm.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
About this article
Cite this article
Shallini Mittal, Rashmi Bhardwaj, Nikita Jajodia et. al, Cerebellar Tuberculoma mimicking Ganglioglioma in a pediatric patient: A Case reporting discordance of pathology-radiological imaging. Int. J Neuro Neurosurgery. 2026; 18(2): 68-72.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
Description: Axial T2/FLAIR image shows a heterogeneously hyperintense lesion in the left cerebellar hemisphere with surrounding edema
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Description: Axial post-contrast T1-weighted image demonstrates predominantly solid avid enhancement of the left cerebellar lesion
(marked in red as c)
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Description: DWI/ADC maps show no diffusion restriction within the lesion (DW arrow, ADC thick solid arrow)
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Description: SWI demonstrates susceptibility blooming foci within the lesion (Red mark)
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Description: Non-contrast CT shows post-operative changes in posterior fossa (hemorrhage and air loculi — marked blue)
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Description: Coronal post-contrast T1-weighted image demonstrates solid enhancing lesion in left cerebellum (Marked e)