Case 2: a six-year-old girl, with no particular medical history, hospitalized for occipitocervical headaches, resistant to analgesic treatment, associated with vomiting and walking disorders, without fever or other associated signs, all evolving in a context of weight loss of 5kg. The clinical examination found a statokinetic cerebellar syndrome. Brain MRI objectified an expansive process of the left cerebellar hemisphere with isosignal on T1, low signal intensity on T2, enhancing annularly after injection of gadolinuim and responsible for a mass effect on vermis and V4 with upstream hydrocephalus (Figure 2). The radiological image was interpreted as medulloblastoma of the posterior cerebral fossa. The patient was operated on using median suboccipital approach, the intraoperative aspect was that of a nodular and avascular lesion. The histological study showed brain parenchyma largely destroyed by granulation tissue formingepithelioid and giant cell granuloma with caseous necrosis in favor of tuberculoma. The assessment of the extent of tuberculosis was negative. The patient was put on anti-tuberculosis drugs: isoniazid (5mg/kg), rifampicin (10mg/kg), pyrazinamide (30mg/kg), streptomycin (15mg/kg) for two months then rifampicin (10mg/kg) and isoniazid (5mg/kg) for seven months. The clinical evolution was good marked by the regression of intracranial hypertension signs and the disappearance of walking disorders. A brain scan after 20 months showed the disappearance of the tuberculoma (Figure 3).