The pus was aspirated, followed by internal bulking using ultrasonic surgical aspirator (Figure 3, 4, 5 ). The thin rim of the capsule was left behind but was coagulated well. Homeostasis was achieved, and the dura was closed using a 5-0 proline continuous suture. The patient tolerated the procedure well. After surgery, he was treated with antibiotics, anti-diabetics, steroids, anti-tubercular drugs, anti-inflammatory, gastro protectives, antiemetics, and other supportive measures. Physiotherapy measures were instituted. The neurologist was involved in his paraparesis care, and an endocrinologist for glycemic control. He gradually improved symptomatically, able to walk with minimal support.