To present a young immunocompetent patient with a fourth ventricle tuberculoma without pulmonary tuberculosis.A previously healthy young male patient presented with a history of headache, nausea, and blurred vision. Neuroimaging revealeda mass present in the fourth ventricle. The lesion was successfully resected. Histological and microbiological findings suggestedthe presence of a tuberculoma.Tuberculomas can be found in the posterior fossa in adults. This infectious pathology should not be forsaken when considering thedifferential diagnosis for infratentorial masses.