Brainstem tuberculoma--presenting as Millard Gublar syndrome.

On examination, patient was well oriented, afebrile and vital parameters including blood pressure were normal. She was undernourished by Welcome Trust classification and mild pallor. BCG scar was seen. She had right side sixth and seventh nerve palsy with left hemiperesis which is clinically defined as Millard-Gubler syndrome. Rest of the neurological examination including fundus examination was normal ESR was 86 mm and Mantoux test was positive (23mm × 27mm). Chest radiograph showed a mediastinal lymph node. HIV done after pre-test counselling was non-reactive. With these findings a probability of stroke or a space occupying lesion involving the brainstem was considered and neuroimaging was carried out.