Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Apr;66(4):599-602.
doi: 10.4103/ijo.IJO_470_17.

Unique case of midbrain tuberculoma presenting as isolated inferior rectus palsy with nystagmus

Akkayasamy Kowsalya  1 , Umang Gajarlewar  1 , Namrata G Adulkar  1 , S Mahesh Kumar  1
Affiliations
Case Reports

Unique case of midbrain tuberculoma presenting as isolated inferior rectus palsy with nystagmus

Akkayasamy Kowsalya et al. Indian J Ophthalmol. 2018 Apr.

Abstract

Isolated brain stem tuberculoma constitutes about 5% of all intracranial tuberculomas. A case of isolated inferior rectus palsy with downbeat nystagmus due to presumed midbrain tuberculoma in an immunocompetent patient is described here. This report documents a rare entity of a combination of partial third nerve palsy with pupil involvement along with downbeat nystagmus.

Keywords: Downbeat nystagmus; midbrain; nerve palsy; tuberculoma.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest

Figures

Figure 1
Figure 1
Extraocular movements showing restriction of dextrodepression
Figure 2
Figure 2
Hess and diplopia chart – right inferior rectus restriction
Figure 3
Figure 3
Magnetic resonance imaging brain with contrast suggestive of midbrain tuberculoma (1.4 cm × 1.2 cm) in right subthalamic region, crus cerebri, and periaqueductal area
Figure 4
Figure 4
Response to therapy
See this image and copyright information in PMC

Comment in

References

    1. Verma R, Sharma P. Unusual clinical presentation of tuberculoma. J Postgrad Med. 2011;57:143–4. - PubMed
    1. Talamás O, Del Brutto OH, García-Ramos G. Brain-stem tuberculoma. An analysis of 11 patients. Arch Neurol. 1989;46:529–35. - PubMed
    1. Iraci G, Giordano R, Gerosa M, Pardatscher K, Tomazzoli L. Tuberculoma of the anterior optic pathways. Case report. J Neurosurg. 1980;52:129–33. - PubMed
    1. Bishburg E, Sunderam G, Reichman LB, Kapila R. Central nervous system tuberculosis with the acquired immunodeficiency syndrome and its related complex. Ann Intern Med. 1986;105:210–3. - PubMed
    1. Braumann D, Reschofsky K, Mainzer K, Müller-Jensen A. The manifestations of extra pulmonary tuberculosis. Dtsch Med Wochenschr. 1991;116:611–6. - PubMed

Publication types

MeSH terms