title: Brainstem Tuberculoma in Pregnancy.
abstract: We report a case of a Somali refugee who presented in the second trimester of her first pregnancy with a four-week history of gradual right-sided sensomotoric hemisyndrome including facial palsy and left-sided paresis of the oculomotorius nerve causing drooping of the left eyelid and double vision. Cranial magnetic resonance imaging revealed a solitary brainstem lesion. Upon detection of hilar lymphadenopathy on chest X-ray (CXR), the diagnosis of disseminated tuberculosis with involvement of the central nervous system was confirmed by PCR and treatment induced with rifampicin, isoniazid, pyrazinamide, and ethambutol. The patient had a steady neurological improvement and a favorable pregnancy outcome.
authors.affiliation: Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland ; Department of Obstetrics and Fetomaternal Medicine, Medical University Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
authors.forename: Dana A
authors.initials: DA
authors.lastname: Muin
authors.affiliation: Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.
authors.forename: Katrin
authors.initials: K
authors.lastname: Wagner
authors.affiliation: Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.
authors.forename: Rosemarie
authors.initials: R
authors.lastname: Burian
authors.affiliation: Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.
authors.forename: Naghmeh
authors.initials: N
authors.lastname: Ghaem Maghami
authors.affiliation: Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.
authors.forename: Olav
authors.initials: O
authors.lastname: Lapaire