Pontine tuberculoma presenting with horizontal gaze palsy.
A 38-year-old immunocompetent man presented with a horizontal supranuclear gaze palsy as the only neurologic manifestation of a pontine tuberculoma. Although a biopsy of the brain lesion was not performed, it was attributed to tuberculosis because of chest x-ray evidence. The patient was given empirical anti-tuberculous therapy. After one month, the gaze palsy had fully recovered and repeat MRI showed a decrease in the size of the lesion. This is the first reported case of supranuclear gaze palsy without diplopia as a manifestation of a tuberculous brain stem lesion.
Saxena
Rohit
R
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. rohitsaxena80@yahoo.com
Menon
Vimla
V
Sinha
Ankur
A
Sharma
Pradeep
P
Kumar
Dhivya Ashok
DA
Sethi
Harinder
H
D000010:Abducens Nerve / Q000473:pathology / Q000503:physiopathology; D020434:Abducens Nerve Diseases / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology; D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009434:Neural Pathways / Q000473:pathology / Q000503:physiopathology; D015835:Ocular Motility Disorders / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology*; D009801:Oculomotor Muscles / Q000294:innervation / Q000503:physiopathology; D011149:Pons / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology*; D012154:Reticular Formation / Q000473:pathology / Q000503:physiopathology; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology*; D014376:Tuberculosis / Q000150:complications*