title: Pontine tuberculoma presenting with horizontal gaze palsy.
abstract: 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.
authors.affiliation: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. rohitsaxena80@yahoo.com
authors.forename: Rohit
authors.initials: R
authors.lastname: Saxena
authors.forename: Vimla
authors.initials: V
authors.lastname: Menon
authors.forename: Ankur
authors.initials: A
authors.lastname: Sinha
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sharma
authors.forename: Dhivya Ashok
authors.initials: DA
authors.lastname: Kumar
authors.forename: Harinder
authors.initials: H
authors.lastname: Sethi
mesh_terms: 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*