IntroductionThe proximity between the eye and the brain, along with their direct connection, grants the examiner a unique capability to identify ocular pathological conditions with potential cerebral locations (1). Foster Kennedy syndrome is a rare condition that occurs in 1% to 2.5% of intracranial masses, being more frequent in the anterior fossa, especially in the frontal lobe. Its etiology is typically tumoral, with meningiomas being the most common, although cases of tuberculous abscesses have also been documented (2).The second presentation of tuberculosis in the central nervous system (CNS) is Tuberculoma, a tuberculous granuloma present in 10% of cases concurrent with tuberculous meningitis. Clinical manifestations vary depending on the location, with common symptoms including headache, seizures, focal neurological signs, and papilledema (3).Despite tuberculosis being endemic in developing countries and its increasing occurrence in the CNS, there is a scarcity of published cases in this context. In this report, we share a case of Tuberculoma with an atypical presentation of Foster Kennedy syndrome.