Miliary tuberculosis with left brachial monoplegia: A case report.
Tuberculoma of the brain is a major neurological problem in developing countries accounting for 12 to 30 per cent of all intracranial masses. It often presents with focal neurological symptoms or seizures. Simultaneous occurrence of brain tuberculoma with miliary mottling in the lungs is uncommon in the immunocompetent patient. We report only the second case of monoplegia and miliary tuberculosis, wherein the patient presented with acute onset left brachial monoplegia, upper motor neuron facial palsy, and fever with an MRI of the brain showing multiple granulomas and chest x-ray showing miliary mottling. The patient's neurological deficit started to resolve with corticosteroids and anti-tubercular treatment.
Department of General Medicine, Pondicherry Institute of Medical sciences, Puducherry, India.
Nayyar
N
Iqbal
Department of General Medicine, Pondicherry Institute of Medical sciences, Puducherry, India.
Nagarajan
N
Natarajan
Department of General Medicine, Pondicherry Institute of Medical sciences, Puducherry, India.
Sivakumar
S
Periyasamy
Department of General Medicine, Pondicherry Institute of Medical sciences, Puducherry, India.
Sanjoy
S
George
Department of General Medicine, Pondicherry Institute of Medical sciences, Puducherry, India.
Aneesh
A
Basheer
Department of General Medicine, Pondicherry Institute of Medical sciences, Puducherry, India.
Sudhagar
S
Mookkappan
CNS tuberculoma; Miliary tuberculosis; Monoplegia