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...

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Main Authors: Chidozie Charles Agu, Olufemi Aina, Md Basunia, Bikash Bhattarai, Vikram Oke, Marie Frances Schmidt, Joseph Quist, Danilo Enriquez, Vijay Gayam
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2015/718289
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author Chidozie Charles Agu
Olufemi Aina
Md Basunia
Bikash Bhattarai
Vikram Oke
Marie Frances Schmidt
Joseph Quist
Danilo Enriquez
Vijay Gayam
author_facet Chidozie Charles Agu
Olufemi Aina
Md Basunia
Bikash Bhattarai
Vikram Oke
Marie Frances Schmidt
Joseph Quist
Danilo Enriquez
Vijay Gayam
author_sort Chidozie Charles Agu
collection DOAJ
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.
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institution Kabale University
issn 2090-6625
2090-6633
language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Infectious Diseases
spelling doaj-art-2747206d79d44a849d07da5bf6adc7f42025-08-20T03:54:57ZengWileyCase Reports in Infectious Diseases2090-66252090-66332015-01-01201510.1155/2015/718289718289Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern TuberculomaChidozie Charles Agu0Olufemi Aina1Md Basunia2Bikash Bhattarai3Vikram Oke4Marie Frances Schmidt5Joseph Quist6Danilo Enriquez7Vijay Gayam8Interfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAWe 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.http://dx.doi.org/10.1155/2015/718289
spellingShingle Chidozie Charles Agu
Olufemi Aina
Md Basunia
Bikash Bhattarai
Vikram Oke
Marie Frances Schmidt
Joseph Quist
Danilo Enriquez
Vijay Gayam
Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
Case Reports in Infectious Diseases
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
url http://dx.doi.org/10.1155/2015/718289
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