DR. ARADHNA MISHRA

DR. SHAHJADI PRAVEEN, DR. NIDA KHAN, DR. MANALI SINGHAL

Abstract

Tuberculosis is a contagious infection caused by Mycobacterium tuberculosis bacteria. It affects the lungs and also spreads to the brain and spine leading to numerous and varied neurological manifestations. Abducens nerve palsy is the most common ocular motor nerve palsy as nerve has long intracranial course. Isolated sixth nerve involvement by tuberculoma is rare. Here we present a diagnosed case of tubercular meningitis patient, aged 22 years who presented to OPD with complaints of inward deviation of both eye (left eye > right eye),diplopia and headache for 1 month. On examination: left eye was 15° deviated inwards, ocular movements were limited on lateral gaze in both eyes. Magnetic resonance imaging of the brain showed tuberculoma in bilateral frontal lobe with evidence of basal exudates and hydrocephalus. Anti-tubercular treatment was continued as advised and kept on regular follow up visits to monitor the ocular deviation.

Keywords: Sixth nerve palsy, tuberculosis, tuberculoma