Orbital tuberculoma extending into the cranium.
Orbital tuberculoma is not uncommon in the developing countries, but intracranial extension of orbital tuberculoma is extremely rare. Our case, a 14-year-old girl, presented with proptosis and progressive painless diminution of vision eventually leading to loss of vision. MRI showed a mass with peripheral enhancement of contrast, separate from the optic nerve and extending into the cranium through the optic foramen. Early decompression and chemotherapy resulted in marked visual recovery. Histopathology of the excised lesion confirmed tuberculosis. The case is reported to highlight both the rare presentation as well as remarkable visual recovery in a patient with orbital tuberculosis.
Department of Ophthalmology, Dr. Ram Manohar Lohia Hospital, New Delhi, India. tarudewan@hotmail.com
Taru
T
Dewan
Kartikeya
K
Sangal
Ishwar Chand
IC
Premsagar
Shashi
S
Vashishth
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005074:Evoked Potentials, Visual; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009916:Orbital Diseases / Q000150:complications / Q000473:pathology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014375:Tuberculoma / Q000473:pathology*; D016862:Tuberculoma, Intracranial / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014392:Tuberculosis, Ocular / Q000473:pathology* / Q000628:therapy
D000995:Antitubercular Agents