Calvarial tuberculosis presenting with seizures

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.