A Case of Oculomotor Nerve Palsy and Choroidal Tuberculous Granuloma Associated with Tuberculous Meningoencephalitis
Korean Journal of Ophthalmology
; : 201-204, 2008.
Article
in En
| WPRIM
| ID: wpr-41294
Responsible library:
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ABSTRACT
We report a rare case of oculomotor nerve palsy and choroidal tuberculous granuloma associated with tuberculous meningoencephalitis. A 15-year-old male visited our hospital for an acute drop of the left eyelid and diplopia. He has been on anti-tuberculous drugs (isoniazid, rifampin) for 1 year for his tuberculous encephalitis. A neurological examination revealed a conscious clear patient with isolated left oculomotor nerve palsy, which manifested as ptosis, and a fundus examination revealed choroidal tuberculoma. Other anti-tuberculous drugs (pyrazinamide, ethambutol) and a steroid (dexamethasone) were added. After 3 months on this medication, ptosis of the left upper eyelid improved and the choroidal tuberculoma decreasedin size, but a right homonymous visual field defect remained. When a patient with tuberculous meningitis presents with abrupt onset oculomotor nerve palsy, rapid re-diagnosis should be undertaken and proper treatment initiated, because the prognosis is critically dependent on the timing of adequate treatment.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pyrazinamide
/
Tuberculoma
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Tuberculosis, Meningeal
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Blepharoptosis
/
Dexamethasone
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Magnetic Resonance Imaging
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Radiography, Thoracic
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Visual Fields
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Choroid Diseases
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Oculomotor Nerve Diseases
Type of study:
Prognostic_studies
Limits:
Adolescent
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Humans
/
Male
Language:
En
Journal:
Korean Journal of Ophthalmology
Year:
2008
Type:
Article