Journal of Dr. NTR University of Health Sciences

CASE REPORT
Year
: 2021  |  Volume : 10  |  Issue : 3  |  Page : 205--208

Abducens nerve palsy: A sole presentation of isolated cerebellar tuberculoma


Shivani Gupta, Shreya Arora, Samiksha Gupta, Gautam Jesrani, Monica Gupta 
 Department of General Medicine, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Dr. Gautam Jesrani
Department of General Medicine, Government Medical College and Hospital, Sector 32, Chandigarh - 160 030
India

Tuberculomas constitute 5–30% of the space-occupying lesions of the central nervous system (CNS) in developing countries, and children and young adults are the most affected population. Most CNS tuberculomas include focal neurological signs with evidence of either meningeal exudates or hydrocephalus, but presentation as isolated sixth nerve palsy is very rare. We report a case of an immunocompetent female who presented with double vision, and was found to have isolated abducens nerve palsy of the right eye. On magnetic resonance imaging of the brain, solitary cerebellar tuberculoma was identified without any evidence of meningitis, basal exudate, or hydrocephalus. Despite the prompt initiation of anti-tubercular drugs and steroids, negligible improvement was noticed at 2 weeks of follow-up. This report highlights that isolated tuberculoma of any unrelated brain region can cause lateral rectus palsy, which may result in permanent disability.


How to cite this article:
Gupta S, Arora S, Gupta S, Jesrani G, Gupta M. Abducens nerve palsy: A sole presentation of isolated cerebellar tuberculoma.J NTR Univ Health Sci 2021;10:205-208


How to cite this URL:
Gupta S, Arora S, Gupta S, Jesrani G, Gupta M. Abducens nerve palsy: A sole presentation of isolated cerebellar tuberculoma. J NTR Univ Health Sci [serial online] 2021 [cited 2023 Feb 5 ];10:205-208
Available from: https://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2021;volume=10;issue=3;spage=205;epage=208;aulast=Gupta;type=0