Journal of Neurosciences in Rural Practice
 
CASE REPORT
Year : 2017  |  Volume : 8  |  Issue : 1  |  Page : 129-132

Bilateral ptosis without upward gaze palsy: Unusual presentation of midbrain tuberculoma


1 Department of Pediatric Medicine, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India
2 Department of Pediatric Medicine, Tapan Sinha Memorial Hospital, Kolkata, West Bengal, India

Correspondence Address:
Chaitali Patra
40/8, Nabanari Tala 1st Bye Lane, Buxarah, Howrah - 711 110, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-3147.193526

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Central nervous system tuberculoma can have variable presentations depending on the site and number of tuberculomas. We are reporting a rare case of an 11-year-old male child presenting with ptosis and ataxia. Clinical examination revealed bilateral partial 3rd cranial nerve palsy (ptosis without any upward gaze palsy) associated with dysdiadochokinesia and ataxia on the right side. Magnetic resonance imaging of the brain revealed a single ring-enhancing lesion in the dorsal midbrain with perifocal edema. Magnetic resonance spectroscopy provided the etiological information as tuberculoma.


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