INTRODUCTION:
Chronic Kidney Disease (CKD) is one of the most prevalent diseases worldwide accounting for approximately 10-13% in the general population. It is a result of a decrease in the glomerular filtration rate below 60 mL/min and /or an increase in the concentration of albumin excreted by the urine. It is diagnosed by the persistent decrease in renal function for at least 3 months [1,2].
The role of kidney includes the homeostatic regulation of the blood by waste excretion, acid/base regulation and fluid /electrolyte balance, the secretion of renin to regulate the tension of the blood, the production of erythropoietin and the maintenance of the homeostasis of calcium and phosphorus. According to these significant functions, its damage will have significant comorbidities like diabetes, hypertension [2,3,4].
Chronic kidney disease associated with incidental tuberculoma represents one of the rarest conditions taking place worldwide. Among tuberculous patients, only 1% show CNS involvement leading to the alteration of the mental status, damaging the cranial nerves, and causing seizures.Mycobacterium tuberculosis  (TB) is disseminated by blood to the central nervous system presenting as an inflammation of the brain and meninges, and leading to the formation of pus. Hence, an accurate diagnosis must be made early with the aid of computerized tomography (CT-scan) and magnetic resonance imaging (MRI). In certain cases, a biopsy is also indicated [5,6].
On account of the high risk of morbidity and sequelae associated with the tuberculoma, immediate assessment must be initiated in order to define the location of the tuberculoma and decide on its adequate management. Surgical resection is required in certain cases to save the patient’s life [7].