MTB tuberculosis (MTB) is a rare disease. The diagnosis is difficult because of its different presentation. We reported two cases with respiratory and high intracranial pressure symptoms. The cases were diagnosed as MTB tuberculosis associated with brain tuberculomas (Tbms) and abscess formation developed as a complication of tbms, which was the cause of convulsion. The presence of different clinical and radiological findings in a patient with MTB tuberculosis is very rare.