Objectives: To describe the clinical presentation, radiological findings in 15 patients with intracranial tuberculoma. Design: Consecutive cases admitted with tuberculoma to the MBGH Hospital, Udaipur, Rajasthan, were included in the study. The diagnosis was based on clinical and neuro-imaging features. Results and Conclusions: The commonest presenting features were generalized convulsion(86.66%) and altered consciousness (80%). Computerised axial tomography/magnetic resonance imaging (CT/MRI) revealed single or multiple lesions that showed intense contrast enhancement and perilesional edema. After receiving 6 months of ATT all patients were symptom free. We advocate early empirical trial of anti-tuberculosis drugs for intracranial tuberculoma even after a presumptive diagnosis.