Optochiasmatic tuberculoma causing progressive visual failure: when has medical treatment failed?
A 5 year old girl with tuberculous meningitis developed progressive visual failure during in-patient anti-tuberculous chemotherapy due to an ophthochiasmatic tuberculoma. This was successfully managed by prolonged high-dose corticosteroids and continued anti-tuberculous therapy resulting in complete visual and psychosocial recovery.
Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, N.T.
W S
WS
Poon
A
A
Ahuja
A K
AK
Li
D002675:Child, Preschool; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D001523:Mental Disorders / Q000209:etiology*; D009897:Optic Chiasm; D009901:Optic Nerve Diseases / Q000188:drug therapy / Q000209:etiology*; D011718:Pyrazinamide / Q000627:therapeutic use; D011736:Pyridoxine / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D013307:Streptomycin / Q000627:therapeutic use; D016862:Tuberculoma, Intracranial / Q000150:complications* / Q000188:drug therapy; D014786:Vision Disorders / Q000209:etiology*
D011718:Pyrazinamide; D003907:Dexamethasone; D011736:Pyridoxine; D007538:Isoniazid; D012293:Rifampin; D013307:Streptomycin