Tuberculosis of skull is a rare disease, but its incidence is on rise in developing countries. Skull
tuberculosis can have varied neurological presentations. Seizures are uncommon mode of presentation
in these patients. We report a patient who presented with seizures and scalp swelling, which was
found to be due to skull tuberculosis. Though uncommon, our patient indicates that any patient from
tuberculosis endemic zone with skull swellings and neurological symptoms should be suspected and
investigated for tuberculosis.
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