Brainstem tuberculoma — presenting as millard Gubler syndrome

Sharif, Mumtaz; More, Vaishali; Purandare, Sadhana

doi:10.1007/s12098-010-0085-2

Cited by 6 publications

(3 citation statements)

References 1 publication

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“…Considering the low socioeconomic background of the patient, endemicity of tuberculosis in our country and a contact history of tuberculosis, we considered the possibility of tuberculoma in this patient and started her on empirical antitubercular therapy and corticosteroids, with a favourable outcome. Sharif et al reported a brainstem tuberculoma in a 3-year-old child presenting as MGS in 2010 8…”

Section: Discussionmentioning

confidence: 99%

Space occupying lesion presenting as Millard-Gubler syndrome

et al. 2022

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Millard-Gubler syndrome (MGS) is a ventral pontine syndrome due to an ipsilateral involvement of abducens and facial nerve with a contralateral hemiparesis or hemiplegia. Although classically described as a vascular brainstem syndrome, various other aetiologies such as infection or demyelination may lead to MGS. In this case, a young female presented with MGS, which was attributed to a strategically located infective granuloma of the brainstem. In countries, where tuberculosis is still considered an endemic, central nervous system involvement due to tuberculosis may have protean manifestations.

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Section: Discussionmentioning

confidence: 99%

Space occupying lesion presenting as Millard-Gubler syndrome

et al. 2022

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“…The incidence of coexistent CNS tuberculoma and tuberculous meningitis is between 10% and 50%. [46] Tuberculomas are primarily located in the cerebral hemisphere, although tuberculomas have been found in the pituitary stalk,[1] sellar and suprasellar regions,[789] corpus callosum,[10] cavernous sinus,[111213] brainstem,[1415161718] cerebellum[1920] and intraventricular. [212223] Intraventricular tuberculomas are rare, and, among them, third ventricular tuberculoma is very rare; only one case has been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Third ventricular tuberculoma mimicking as a tumor: Report of a very rare case

Sharma¹,

Kaushal²,

Vaidya³

et al. 2017

Asian J Neurosurg

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Intracranial tuberculoma is a common neurosurgical problem in developing countries; however, intraventricular tuberculoma is a rare entity. Here, we report a rare case of third ventricular tuberculoma in a 21-year-old girl who presented with features of raised intracranial pressure. Radiological findings and management of third ventricular tuberculoma would be discussed and literature regarding such lesions will be reviewed.

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“…Communicating hydrocephalus was thought to be caused by basilar arachnoiditis or aqueductal compression [9]. Additionally, some rare signs or syndromes such as horizontal gaze palsy [10], nystagmus [11], Millard-Gubler syndrome [12], one-and-a-half-syndrome [13], and eight-and-a-half syndrome [14] were all reported to occur in patients with brainstem tuberculomas. However, neither cranial nerve palsy nor communicating hydrocephalus was found in our patient, but anhelation presented as the main complaint when she was readmitted to hospital.…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%

Anhelation due to formation of tuberculomas at the medulla oblongata during chemotherapy of tuberculous meningitis

Zhang

Zhong

et al. 2012

Neurologia i Neurochirurgia Polska

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Formation of tuberculoma is a rare response of neurotuberculosis in patients regularly and adequately treated with anti-tuberculous drugs. We report a 13-year-old girl with two tuberculomas which formed in the dorsal part of the medulla oblongata during chemotherapy for tuberculous meningitis. The tuberculomas were both removed via a suboccipital midline approach and were demonstrated by pathological findings but the girl died of cardiac arrest that was thought to be caused by postoperative medulla oblongata oedema. In combination with a literature review, we discuss the clinical features and treatment options of brainstem tuberculomas.

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Brainstem tuberculoma — presenting as millard Gubler syndrome

Cited by 6 publications

References 1 publication

Space occupying lesion presenting as Millard-Gubler syndrome

Space occupying lesion presenting as Millard-Gubler syndrome

Third ventricular tuberculoma mimicking as a tumor: Report of a very rare case

Anhelation due to formation of tuberculomas at the medulla oblongata during chemotherapy of tuberculous meningitis

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