Isolated Oculomotor Nerve Palsy as Initial Presentation Of Tuberculous Meningitis
Isolated Oculomotor Nerve Palsy As Initial Presentation Of Tuberculous Meningitis
Keywords:
Tuberculous Meningitis, Oculomotor Nerve PalsyAbstract
Tuberculous meningitis (TB meningitis) is a subacute or chronic meningitis with diversemanifestations. Isolatedoculomotor nerve palsy as initial manifestation is rare, which often makes early diagnosis difficult. The present case report demonstrates a patient with TB meningitis, who presented with isolated left oculomotor nerve palsy. A 40 year-old male presented with gradual onset left side ptosis. Neurologicalexamination revealed isolated left oculomotor nerve palsy. Brain magnetic resonance imagingand cerebral angiography showed no diagnostic finding. Cerebrospinal fluid (CSF) study and the polymerase chain reaction(PCR) on CSF confirmedthe diagnosis of TB meningitis. Thisreport is to highlight the fact that TB meningitis should be kept in differential diagnosis for isolated third cranial nerve palsy especially in endemic countries like India.[ Chakrabarti S NJIRM 2014; 5(2) :136-138]
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