title: Iatrogenic cushing syndrome to facial nerve palsy: via intracranial tuberculoma-an interesting journey.
abstract: Isolated Facial nerve palsy is a less common neurological manifestation of intracranial tuberculoma. Again, tuberculoma can arise following development of Cushing syndrome after prolonged intake of steroids due to origin of immunosuppressed state. Thus exogenous steroid administration leading to iatrogenic Cushing Syndrome which again causing tuberculoma, with facial nerve palsy developing as a manifestation of tuberculoma is not unnatural but definitely a unique scenario. The author reports an interesting case where a patient developed left sided facial palsy following development of intracranial tuberculoma from iatrogenic Cushing syndrome after longterm intake of Dexamethasone as a treatment for low back pain. This situation is rarely reported before.
authors: Post Graduate Trainee,Department of General Medicine, Ipgmer , Kolkata, India .
authors: Subrata
authors: S
authors: Chakrabarti
keywords: Cushing syndrome; Facial nerve palsy; Tuberculoma
references: J Assoc Physicians India. 1993 Sep;41(9):559-61
references: 8307908
references: Neurosurgery. 1994 Nov;35(5):845-50; discussion 850
references: 7838332
references: Neuroradiology. 1991;33(2):126-35
references: 2046896
references: AJNR Am J Neuroradiol. 2001 Sep;22(8):1503-9
references: 11559497
references: Endocrine. 2010 Dec;38(3):328-34
references: 20972726
references: Clin Infect Dis. 1994 Dec;19(6):1092-9
references: 7888539
references: Acta Neurochir (Wien). 1998;140(9):899-903
references: 9842426
references: Neurochirurgie. 1999 May;45(2):129-33
references: 10448653
references: Neuroradiology. 1989;31(4):299-302
references: 2797420
references: Saudi Med J. 2000 Feb;21(2):196-9
references: 11533782
references: Neuroimaging Clin N Am. 1997 May;7(2):199-214
references: 9113686
references: Neurol Clin. 1999 Nov;17(4):737-59
references: 10517926
references: Surg Neurol. 1995 Oct;44(4):378-84; discussion 384-5
references: 8553259
references: J Neurol. 2005 Jun;252(6):672-6
references: 15778908
references: Epilepsy Res. 2000 Feb;38(2-3):91-104
references: 10642037