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Updated: Aug 11, 2026
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Orbital tuberculoma extending into the cranium
Taru Dewan1, Kartikeya Sangal, Ishwar Chand Premsagar
1Department of Ophthalmology, Dr. Ram Manohar Lohia Hospital, New Delhi, India. tarudewan@hotmail.com
Summary
Orbital tuberculoma rarely extends intracranially. This case highlights a 14-year-old girl with vision loss due to orbital tuberculosis, showing significant visual recovery after prompt treatment.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Orbital tuberculoma is prevalent in developing nations.
- Intracranial extension of orbital tuberculoma is exceptionally rare.
Observation:
- A 14-year-old girl presented with proptosis and progressive vision loss.
- MRI revealed a contrast-enhancing mass extending intracranially via the optic foramen, separate from the optic nerve.
Findings:
- Histopathology confirmed orbital tuberculosis.
- Early surgical decompression and chemotherapy led to substantial visual recovery.
Implications:
- This case underscores the importance of considering tuberculosis in orbital masses with intracranial extension.
- Prompt diagnosis and treatment can result in remarkable visual recovery, even in rare presentations.
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