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Cranial tuberculosis is a relatively infrequent inflammatory reaction caused by tuberculous bacilli invading the skull. Most cases of cranial tuberculosis are secondary to tuberculosis foci in other parts of the body; primary cranial tuberculosis is extremely rare. Herein, we report a case of primary cranial tuberculosis. A 50-year-old man presented to our hospital with a mass in the right frontotemporal region. Chest computed tomography and abdominal ultrasonography findings were normal. Magnetic resonance imaging of the brain revealed a mass in the right frontotemporal skull and scalp with cystic changes, adjacent bone destruction, and meningeal invasion. The patient underwent surgery and was diagnosed with primary cranial tuberculosis; he was treated with antitubercular therapy postoperatively. No recurrent masses or abscesses were observed during the follow-up.
Authors’ addresses: Yulin Cen, Jiaqi Li, and Guiyuan Wang, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China, and Southwest Medical University, Lu Zhou, China, E-mails: firstname.lastname@example.org, email@example.com, and firstname.lastname@example.org. Shenjie Li, Wei Xiang, Jie Zhou, and Ligang Chen, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, China, Sichuan Clinical Research Center for Neurosurgery, Lu Zhou, China, Academician (Expert) Workstation of Sichuan Province, Lu Zhou, China, and Neurological Diseases and Brain Function Laboratory, Lu Zhou, China, E-mails: email@example.com, firstname.lastname@example.org, email@example.com, and firstname.lastname@example.org.