Isolated Oculomotor and Abducens Nerve Palsies as Initial Presentation of Cavernous Sinus Tuberculoma: Case Report and Literature Review

Abdolhoseinpour, Hesam; Abolghasemi, Soheila; Jangholi, Ehsan; Tehrani, Khadijeh Haji Naghi

doi:10.1016/j.wneu.2018.06.203

Search citation statements

Order By: Relevance

Paper Sections

Select...

Discussion1

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Brainstem tuberculoma typically manifests with low-grade fever, weight loss, headache, vomiting, sixth and seventh cranial nerve affections, and unilateral motor and sensory complaints. Lesions along the extra-axial course of the nerve can cause isolated abducens nerve palsy [9]. The laboratory reports indicate an elevated erythrocyte sedimentation rate.…”

Section: Discussionmentioning

confidence: 99%

Tuberculoma Masquerading as a Sixth Cranial Nerve Palsy in a Young Patient: A Case Report

Gemnani,

Saboo,

Wanjari

et al. 2024

Cureus

View full text Add to dashboard Cite

Tuberculosis is a worldwide health concern with a wide range of clinical manifestations. Rarely, it can involve the central nervous system in the form of tuberculomas. Although cranial nerve palsies or localized neurological signs are the most frequent presentations of tuberculoma, isolated sixth nerve palsy is unusual and rare. We report the case of a 17-year-old female who presented with isolated sixth nerve palsy, an unusual early manifestation of intracranial tuberculoma. We established the diagnosis through clinical, radiological, and laboratory evaluations and successfully managed the patient with antitubercular therapy. This case highlights the importance of considering tuberculoma as a differential diagnosis in cases of isolated cranial nerve palsies, especially in regions with a high prevalence of tuberculosis.

show abstract

Section: Discussionmentioning

confidence: 99%