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A challenging decision making process was conducted by a team of multidisciplinary experts, leading to a consensus on adopting a conservative approach involving the use of steroids and antiepileptic medications, to which the patient responded favorably. When the patient reached 34\u2009weeks of pregnancy, a cesarean section was performed, without complications, with the delivery of a healthy premature newborn. Upon delivery, surgical resection of the brain lesion was performed. Histopathologic analysis of the biopsy did not show signs consistent with neoplasia. Instead, it highlighted areas of necrosis along with the presence of granulomas and giant cells. Notably, despite extensive testing and staining for tuberculous bacilli across multiple samples yielding negative results, definitive confirmation was only secured via a gene X\u2010pert test on the biopsied tissue. 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