An actual rare brain granuloma: cerebral gumma.

A case of cerebral gumma is reported. The appearance of this kind of lesion is exceptional at the present time. Gummas are the expression of localized meningovascular forms of neurosyphilis and their clinical symptoms and signs are similar to those of any other space-occupying intracranial lesion. Computed tomography scan showed a ring-enhancing lesion with intense cerebral edema. A criticism of computed tomography features of the reported cases in the literature is carried out. Surgical excision, whenever possible, is the treatment of choice since it achieves the removal of the mass and its histologic verification.