title: Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma.
abstract: We describe a previously healthy young man who presented with headaches, diplopia with right lateral gaze palsy, dysphagia, and hoarseness over a 2-month period. Magnetic resonance imaging of the brain revealed a small enhancing mass at the prepontine cistern and chest CT showed a left mediastinal mass. Mediastinoscopy and lymph node biopsy were performed. DNA probe and culture of the biopsy specimen were confirmed to be Mycobacterium tuberculosis complex. Resolution of neurologic symptoms was noted after 6 weeks, in addition to regression of brain stem and mediastinal lesions after 12 weeks of antituberculous therapy.
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Chidozie Charles
authors.initials: CC
authors.lastname: Agu
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Olufemi
authors.initials: O
authors.lastname: Aina
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Md
authors.initials: M
authors.lastname: Basunia
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Bikash
authors.identifier: 0000-0001-8807-1783
authors.initials: B
authors.lastname: Bhattarai
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Vikram
authors.initials: V
authors.lastname: Oke
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Marie Frances
authors.initials: MF
authors.lastname: Schmidt
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Quist
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Danilo
authors.initials: D
authors.lastname: Enriquez
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Vijay
authors.initials: V
authors.lastname: Gayam