Multiple Tuberculoma in Brain Presented with Isolated Ocular Abnormality: A Case Report

A 52-year-old female presented with headache and double vision for one and half month. On examination of eye a horizontal nystagmus was seen in leftward gaze. Magnetic resonance imaging (MRI) brain showed multiple small rim and nodular enhancing lesion with mild perilesional edema in cerebral and cerebellar hemisphere and pons. Patient’s ESR was 70, and mountoux test was 14 mm after 72 hours. On the basis of MRI and investigations, and endemicity of tuberculosis in India, diagnosed as a case of tuberculoma and treated with anti tubercular treatment. She had 3 months of follow-up period and showed a complete amelioration of symptoms.

[1]  J. Kimpen,et al.  Intracranial tuberculosis in the Netherlands: Four paediatric cases , 1995, European Journal of Pediatrics.

[2]  S. Suter,et al.  Childhood tuberculosis at a Swiss university hospital: A 2-year study , 1993, European Journal of Pediatrics.

[3]  F. Fortea,et al.  Intracranial tuberculosis in AIDS: CT and MRI findings , 2004, Neuroradiology.

[4]  Jui-wei Lin,et al.  Multiple Tuberculomas in the Brain and Spinal Cord: A Case Report , 2003, Spine.

[5]  D. C. Henckel,et al.  Case report. , 1995, Journal.

[6]  C. Woiciechowsky,et al.  [Tuberculosis of the CNS--once again a current neurosurgical disease]. , 1994, Zentralblatt für Neurochirurgie.

[7]  S. P. Baitch,et al.  Evaluation and Treatment , 1993 .

[8]  E. Melhem,et al.  Intramedullary spinal cord tuberculoma in a patient with AIDS. , 1992, AJNR. American journal of neuroradiology.

[9]  J. A. Garza,et al.  Brain-stem tuberculoma. , 1991, Archives of neurology.

[10]  O. D. Del Brutto,et al.  Brain-stem tuberculoma. An analysis of 11 patients. , 1989, Archives of neurology.

[11]  M. Anderson,et al.  Intracranial tuberculomas: correlation of computerized tomography with clinico-pathological findings. , 1982, The Quarterly journal of medicine.

[12]  L. Deangelis Intracranial tuberculoma , 1981, Neurology.

[13]  W. Sibley,et al.  Intracranial Tuberculomas , 1956, Neurology.