Bilateral ptosis without upward gaze palsy: Unusual presentation of midbrain tuberculoma.
Central nervous system tuberculoma can have variable presentations depending on the site and number of tuberculomas. We are reporting a rare case of an 11-year-old male child presenting with ptosis and ataxia. Clinical examination revealed bilateral partial 3rdcranial nerve palsy (ptosis without any upward gaze palsy) associated with dysdiadochokinesia and ataxia on the right side. Magnetic resonance imaging of the brain revealed a single ring-enhancing lesion in the dorsal midbrain with perifocal edema. Magnetic resonance spectroscopy provided the etiological information as tuberculoma.
Department of Pediatric Medicine, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India.
Shatanik
S
Sarkar
Department of Pediatric Medicine, Tapan Sinha Memorial Hospital, Kolkata, West Bengal, India.
Chaitali
C
Patra
Department of Pediatric Medicine, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India.
Malay Kumar
MK
Dasgupta
Ataxia; magnetic resonance spectroscopy; midbrain; ptosis; tuberculoma