Almost two billion people are infected with M. Tuberculosis. The most common manifestation ofTB is pulmonary; however, severe manifestations of TB can affect the central nervous system. This case report describes a young refugee with onset of sixth nerve palsy and an MRI consistentwith a pontine tumor. Stereotactic biopsy showed giant cells and acid-fast rods, QuantiFERON testwas positive, thus fulfilling the criteria for tuberculoma. The patient immediately beganantituberculous treatment and slowly recovered. The purpose of this article was to elucidate thenecessity of screening migrants from TB-endemic areas.