[Optochiasmatic tuberculoma: complication of tuberculous meningitis. Report of a case and review of the literature].
Optochiasmatic tuberculomas are rare and have a poor prognosis if not diagnosed early and treated adequately. We report the case of 4-year-old boy who presented a chiasmatic tuberculoma after tuberculous meningitis revealed by progressive visual failure. Cerebral gadolinium enhanced magnetic resonance imaging demonstrated a chiasmatic and a brainstem ringlike enhancing lesions. Outcome was favorable with antituberculosis therapy and corticosteroids. Are recalled the diagnostic aspects, notably the neuroradiological findings, in this particular localisation of tuberculosis with a review of the similar thirty-three cases reported in the literature.
Akhaddar
A
A
Service de Neuroradiologie, Hôpital des Spécialités, ONO, CHU Ibn Sina, Rabat, Maroc.
El Hassani
M Y
MY
Chakir
N
N
Jiddane
M
M
D002675:Child, Preschool; D006801:Humans; D008297:Male; D009897:Optic Chiasm; D009901:Optic Nerve Diseases / Q000209:etiology*; D016862:Tuberculoma, Intracranial / Q000209:etiology*; D014390:Tuberculosis, Meningeal / Q000150:complications*