Tuberculoma of the cavernous sinus.
A case of tuberculoma of the cavernous sinus is described and 4 other previously reported cases are reviewed. The condition is very rare, and predominantly affects Asians. Periorbital pain, ptosis and ophthalmoplegia are the most common presenting features. Clinical and radiological findings are not sufficiently sensitive to differentiate it from other diseases affecting the cavernous sinus. Treatment is primarily medical, with antituberculous drugs, and the outcome is good. Surgery has a limited role in the management of this condition, mainly for establishing the diagnosis.
Al Soub
H
H
Department of Medicine, Hamad Medical Corporation, Doha, Qatar. alsoub-hussam@usa.net
Al Alousi
F S
FS
Al-Khal
A L
AL
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001927:Brain Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D002426:Cavernous Sinus / Q000382:microbiology / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
D000995:Antitubercular Agents