Gaba Saurabh, Gupta Monica, Lamba Amtoj Singh, Bhardwaj Arshia, Gupta Harsheel
General Medicine, Government Medical College and Hospital, Chandigarh, IND.
Cureus. 2020 Oct 17;12(10):e11001. doi: 10.7759/cureus.11001.
A 20-year-old female presented to the emergency department with fever, anorexia, headache, and neck stiffness for two weeks with recent onset of diplopia and ptosis. She was found to have bilateral symmetrical and complete oculomotor palsy. The diagnosis of tubercular meningitis (TBM) was established on magnetic resonance imaging of the brain and cerebrospinal fluid examination. The oculomotor palsy was attributed to tubercular exudates along the ventral surface of midbrain. Although cranial nerves palsies are common in TBM, such a pattern is rarely seen and has been reported only in the context of tuberculoma in midbrain. She was treated with anti-tubercular therapy for nine months, but there was only partial recovery of the oculomotor function.
一名20岁女性因发热、厌食、头痛和颈部僵硬两周，近期出现复视和上睑下垂，就诊于急诊科。检查发现她患有双侧对称性完全动眼神经麻痹。通过脑部磁共振成像和脑脊液检查确诊为结核性脑膜炎（TBM）。动眼神经麻痹归因于中脑腹侧表面的结核性渗出物。虽然脑神经麻痹在TBM中很常见，但这种模式很少见，仅在中脑结核瘤的情况下有过报道。她接受了九个月的抗结核治疗，但动眼神经功能仅部分恢复。
