Received: January 05, 2011
Accepted: November 30, 2011
Ref: Lalla RS, Singh RK, Rawat KJ, Chewoolkar VC. Central nervous system tuberculomata presenting as internuclear ophthalmoplegia. Internet J Med Update. 2012 Jan;7(1):59-61.
CENTRAL NERVOUS SYSTEM TUBERCULOMATA PRESENTING AS INTERNUCLEAR OPHTHALMOPLEGIA
Rakesh S Lalla* MD, Raminder K Singh** MD, Kavita J Rawat† MD and Vaibhav C Chewoolkar‡ MD
*Assistant Professor, **Professor and Head, †Associate Professor, ‡Assistant Professor, Department of Medicine, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra, India
(Corresponding Author: Dr Rakesh S Lal, Department of Medicine, Seth GS Medical College & KEM Hospital, Mumbai 400012, Maharashtra, India; Tele-fax: 022-24172267; Email: rakesh_lalla@yahoo.com)
ABSTRACT
Central nervous system (CNS) tuberculoma can have variable presentation depending upon the site and number of tuberculomata. We are reporting a rare case of a 15 years old girl who presented to our hospital with binocular diplopia on right gaze. Clinical examination revealed left sided internuclear ophthalmoplegia and dysdiadochokinesia and ataxia on left side. Magnetic Resonance Imaging (MRI) of brain revealed multiple tuberculomata in both cerebral hemispheres, cerebellum, left half of medulla and pons. This case highlights the need for a high degree of suspicion for CNS tuberculosis in patients presenting with internuclear ophthalmoplegia.
KEY WORDS: Brainstem; Tuberculoma; Internuclear; Ophthalmoplegia; Syndrome
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