Isolated brain stem tuberculoma presenting with one and a half syndrome

Authors

• Mushira Enani, Consultant & Head, Infectious Diseases, Department of Medicine, Division of Infectious Diseases, Riyadh Military Hospital, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia Tel. +966 (1) 4777714 Ext. 5282. Fax. +966 (1) 4808265. E-mail: mushirae{at}yahoo.com
• Daifallah J. Al-Nakhli, Department of Medicine, Division of Infectious Diseases, Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia
• Eman Bakhsh, Department of Radiology, Neuroradiology Unit, Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia

Abstract

In this report, we describe a patient with left conjugate gaze palsy and internuclear ophthalmoplegia on the opposite gaze one-and-a-half-syndrome [1 1/2 syndrome]. Magnetic resonance imaging of the brain showed nodular enhancing brain stem lesions. After excluding other potential diseases, tuberculoma was thought to be the underlying etiology. Recovery was achieved 8 weeks after initiation of anti-tuberculous anti-TB therapy. The isolated nature of the tuberculoma and the association with this rare syndrome is highlighted.

Article Type

Case Report

First Page

1407

Last Page

1411

Recommended Citation

Enani, Mushira; Al-Nakhli, Daifallah J.; and Bakhsh, Eman (2006) "Isolated brain stem tuberculoma presenting with one and a half syndrome," Saudi Medical Journal: Vol. 27: Iss. 9, Article 25.
DOI: https://doi.org/10.15537/1658-3175.3597