Tuberculoma of the brain is a dangerous disease that is becoming more common in developed countries as tuberculosis continues to spread. At first, antimycobacterial drugs are used to treat brain tuberculoma. But neurosurgery is the main part of treatment. Surgery is needed if the tuberculoma does not respond to medical treatment, if it is causing symptoms, or if there is no other way to find out what is wrong. In this paper, we talk about four cases of posterior fossa tuberculomas in people who had never had tuberculosis or a weak immune system before. Brain tuberculosis had to be treated with surgery in all cases for it to go away safely and effectively.