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. 2015:2015:179483.
doi: 10.1155/2015/179483. Epub 2015 Nov 4.

Brainstem Tuberculoma in Pregnancy

Dana A Muin  1 , Katrin Wagner  2 , Rosemarie Burian  2 , Naghmeh Ghaem Maghami  2 , Olav Lapaire  2
Affiliations

Brainstem Tuberculoma in Pregnancy

Dana A Muin et al. Case Rep Obstet Gynecol. 2015.

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.

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Figures

Figure 1
Figure 1
Tuberculoma in the left pedunculus cerebri at time of first encounter (frontal view).
Figure 2
Figure 2
Tuberculoma in the left pedunculus cerebri at time of first encounter (horizontal view).
Figure 3
Figure 3
Fetal weight curve.
Figure 4
Figure 4
Chest X-ray.
Figure 5
Figure 5
Tuberculoma after 1 month (frontal view).
Figure 6
Figure 6
Tuberculoma after 1 month (horizontal view).
Figure 7
Figure 7
Tuberculoma after 2 months (frontal view).
Figure 8
Figure 8
Tuberculoma after 2 months (horizontal view).
See this image and copyright information in PMC

References

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