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Tuberculosis most commonly involves the lungs, one with the involvement of the central nervous system (CNS) is the most serious type of systemic tuberculosis due to its high mortality rate, common neurological complications and sequelae, Tuberculous infections of the brain are most commonly caused by haematogenous spread of Mycobacterium tuberculosis secondary to a disease focus elsewhere in the body, such as the lung or the gastrointestinal tract, usually due to an affected lymph node eroding into a vessel The initial tuberculous lesions may develop either in the brain parenchyma or the meninges, and are known as Rich foci when they occur in the CNS.