Optochiasmatic tuberculoma causing progressive visual failure: when has medical treatment failed?
نویسندگان
چکیده
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.
منابع مشابه
Optochiasmatic 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...
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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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The single main cause of death from infectious diseases worldwide is tuberculosis, which is more prevalent in developing countries. Tuberculous meningitis (TBM) is a severe form of TB in which morbidity and mortality depend upon the stage of presentation. Intracranial brain parenchymal tuberculomas may form paradoxically, days to months after starting antituberculous drug therap...
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We present a rare case of optochiasmatic cavernous angioma (CA) misdiagnosed as teratoma prior to surgery. A 28-year-old male patient presented with progressive loss of visual acuity and headache. Neuroophthalmologic examination revealed left homonymous hemianopsia and decreased visual acuity (right eye 0.6, left eye 0.7). A total resection operation of the lesion was performed via the pteriona...
متن کاملIntracranial tuberculoma in Kuwait.
OBJECTIVE To study the manifestations of intracranial tuberculoma in Kuwait and to provide guidelines for the diagnosis and management of intracranial tuberculoma in developing countries, where the disease is common and facilities are limited. DESIGN Data were collected from patients with intracranial space-occupying lesions admitted to Adan Hospital Medical Department and the Neurosurgery an...
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 69 808 شماره
صفحات -
تاریخ انتشار 1993