Optochiasmatic tuberculoma causing progressive visual failure: when has medical treatment failed?
نویسندگان
چکیده
منابع مشابه
Optochiasmatic tuberculoma causing progressive visual failure: when has medical treatment failed?
A 5 year old girl with tuberculous meningitis developed progressive visual failure during in-patient anti-tuberculous chemotherapy due to an ophthochiasmatic tuberculoma. This was successfully managed by prolonged high-dose corticosteroids and continued anti-tuberculous therapy resulting in complete visual and psychosocial recovery.
متن کاملOptochiasmatic tuberculoma as the sole manifestation of late recurrent tuberculosis.
Brain tuberculomas account for 10-20% of space occupying brain lesions in developing countries. Most lesions are observed at time of tuberculosis diagnosis or soon after starting treatment. We herein describe a 32 year-old patient with a 14-month history of headache and progressive visual loss. Her past medical history revealed pulmonary tuberculosis treated eight years before. A brain MRI show...
متن کاملParadoxical Growth of Optochiasmatic Tuberculoma during the Treatment of Tuberculous Meningitis
Intracranial brain parenchymal tuberculomas may form paradoxically, days to months after starting antituberculous drug therapy. They may develop in and around optic chiasm and optic nerves after antituberculous treatment as a quite rare occurrence in tuberculous meningitis (TBM) this may lead to severe visual loss if not treated properly. We describe a 5 year-old child with documented TBM being...
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Cavernous hemangioma of the optic chiasm is extremely rare, representing 1% or less of all cavernous hemangioma.1 Klein et al described the earliest reported lesion in 1979.2 Patients typically present with chiasmal apoplexy, characterized by sudden visual disturbance, headache, retro-orbital pain, and nausea.3 Acute dysfunction of the chiasm and/or optic nerve has been called chiasmatic apople...
متن کاملMultiple sclerosis presenting with progressive visual failure.
Progressive visual failure as the presenting feature of multiple sclerosis is described in five patients. The clinical features did not permit a distinction from visual loss due to compression. The finding of oligoclonal bands in the CSF at presentation is a useful pointer to the diagnosis, but is not specific and full investigation to exclude treatable causes of visual loss is essential.
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ژورنال
عنوان ژورنال: Postgraduate Medical Journal
سال: 1993
ISSN: 0032-5473
DOI: 10.1136/pgmj.69.808.147