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BACKGROUND: Pediatric nervous system tuberculomas areusually infra-tentorial and multiple. A frontal lobe location is rare.CASE DETAILS: We report a 10 year-old boy who presented witha chronic headache and episodes of loss of consciousness. He hadno signs of primary pulmonary tuberculosis and a diagnosis offrontal tuberculoma was made upon a post-operative biopsy. Heimproved following treatment with anti-tubercular drugs.CONCLUSION: Tuberculosis should be considered in childrenwith a chronic headache or focal neurologic deficit and a supra-tentorial intracranial mass in endemic countries like Ethiopia.