Isolated brain stem tuberculoma presenting with one and a half syndrome.
In this report, we describe a patient with left conjugate gaze palsy and internuclear ophthalmoplegia on the opposite gaze one-and-a-half-syndrome [11/2 syndrome]. Magnetic resonance imaging of the brain showed nodular enhancing brain stem lesions. After excluding other potential diseases, tuberculoma was thought to be the underlying etiology. Recovery was achieved 8 weeks after initiation of anti-tuberculous anti-TB therapy. The isolated nature of the tuberculoma and the association with this rare syndrome is highlighted.
Enani
Mushira
M
Department of Medicine, Division of Infectious Diseases, Riyadh Military Hospital, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. mushirae@yahoo.com
Al-Nakhli
Daifallah J
DJ
Bakhsh
Eman
E
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001933:Brain Stem / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009886:Ophthalmoplegia / Q000209:etiology*; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology*; D014390:Tuberculosis, Meningeal / Q000150:complications
D000995:Antitubercular Agents