Tuberculosis of Calvaria - A Rare Entity

Tuberculosis is endemic in developing countries like India. However, calvarial tuberculosis is very rare. It was reported first time by Reid in 1942 and only a few cases have been reported till now. Most cases occur in first two decades secondary to haematogenous spread from a primary focus elsewhere in the body that may not always be evident. Calvarial tuberculosis in middle aged male with no evidence of tuberculosis elsewhere in body is very rare. Tuberculosis of the cranium is a rare entity, and can mimic tumors or multiple myeloma. A high index of suspicion and knowledge is required for an early diagnosis. We present a rare case of tuberculosis of calvaria in a middle-aged male who responded well to anti tubercular therapy.