Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma

We describe a previously healthy young man who presented with headaches, diplopia with right lateral gaze palsy, dysphagia, and hoarseness over a 2-month period. Magnetic resonance imaging of the brain revealed a small enhancing mass at the prepontine cistern and chest CT showed a left mediastinal m...

Descripción completa

Detalles Bibliográficos
Autores principales: Agu, Chidozie Charles, Aina, Olufemi, Basunia, Md, Bhattarai, Bikash, Oke, Vikram, Schmidt, Marie Frances, Quist, Joseph, Enriquez, Danilo, Gayam, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677012/
https://www.ncbi.nlm.nih.gov/pubmed/26693365
http://dx.doi.org/10.1155/2015/718289
_version_ 1782405269140013056
author Agu, Chidozie Charles
Aina, Olufemi
Basunia, Md
Bhattarai, Bikash
Oke, Vikram
Schmidt, Marie Frances
Quist, Joseph
Enriquez, Danilo
Gayam, Vijay
author_facet Agu, Chidozie Charles
Aina, Olufemi
Basunia, Md
Bhattarai, Bikash
Oke, Vikram
Schmidt, Marie Frances
Quist, Joseph
Enriquez, Danilo
Gayam, Vijay
author_sort Agu, Chidozie Charles
collection PubMed
description We describe a previously healthy young man who presented with headaches, diplopia with right lateral gaze palsy, dysphagia, and hoarseness over a 2-month period. Magnetic resonance imaging of the brain revealed a small enhancing mass at the prepontine cistern and chest CT showed a left mediastinal mass. Mediastinoscopy and lymph node biopsy were performed. DNA probe and culture of the biopsy specimen were confirmed to be Mycobacterium tuberculosis complex. Resolution of neurologic symptoms was noted after 6 weeks, in addition to regression of brain stem and mediastinal lesions after 12 weeks of antituberculous therapy.
format Online
Article
Text
id pubmed-4677012
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-46770122015-12-21 Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma Agu, Chidozie Charles Aina, Olufemi Basunia, Md Bhattarai, Bikash Oke, Vikram Schmidt, Marie Frances Quist, Joseph Enriquez, Danilo Gayam, Vijay Case Rep Infect Dis Case Report We describe a previously healthy young man who presented with headaches, diplopia with right lateral gaze palsy, dysphagia, and hoarseness over a 2-month period. Magnetic resonance imaging of the brain revealed a small enhancing mass at the prepontine cistern and chest CT showed a left mediastinal mass. Mediastinoscopy and lymph node biopsy were performed. DNA probe and culture of the biopsy specimen were confirmed to be Mycobacterium tuberculosis complex. Resolution of neurologic symptoms was noted after 6 weeks, in addition to regression of brain stem and mediastinal lesions after 12 weeks of antituberculous therapy. Hindawi Publishing Corporation 2015 2015-11-29 /pmc/articles/PMC4677012/ /pubmed/26693365 http://dx.doi.org/10.1155/2015/718289 Text en Copyright © 2015 Chidozie Charles Agu et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Agu, Chidozie Charles
Aina, Olufemi
Basunia, Md
Bhattarai, Bikash
Oke, Vikram
Schmidt, Marie Frances
Quist, Joseph
Enriquez, Danilo
Gayam, Vijay
Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
title Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
title_full Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
title_fullStr Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
title_full_unstemmed Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
title_short Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
title_sort right gaze palsy and hoarseness: a rare presentation of mediastinal tuberculosis with an isolated prepontine cistern tuberculoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677012/
https://www.ncbi.nlm.nih.gov/pubmed/26693365
http://dx.doi.org/10.1155/2015/718289
work_keys_str_mv AT aguchidoziecharles rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT ainaolufemi rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT basuniamd rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT bhattaraibikash rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT okevikram rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT schmidtmariefrances rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT quistjoseph rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT enriquezdanilo rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma
AT gayamvijay rightgazepalsyandhoarsenessararepresentationofmediastinaltuberculosiswithanisolatedprepontinecisterntuberculoma

Ejemplares similares