Suprasellar tuberculoma developing during treatment of tuberculous meningitis requiring urgent surgical decompression.
An adult patient on treatment for tuberculous meningitis developed visual failure due to a tuberculoma compressing both optic nerves and chiasm. Although continued anti-tuberculous chemotherapy is the treatment of choice for intracranial tuberculoma, the rapid deterioration in vision necessitated urgent surgical decompression, which resulted in complete recovery of vision.
Teoh
R
R
Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT.
Poon
W
W
Humphries
M J
MJ
O'Mahony
G
G
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000601:surgery; D009897:Optic Chiasm / Q000601:surgery*; D009900:Optic Nerve / Q000601:surgery*; D014375:Tuberculoma / Q000209:etiology* / Q000601:surgery; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000188:drug therapy
D000900:Anti-Bacterial Agents