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Brainstem Tuberculoma in Pregnancy

Dana A Muin1, Katrin Wagner2, Rosemarie Burian2

  • 1Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland ; Department of Obstetrics and Fetomaternal Medicine, Medical University Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.

Case Reports in Obstetrics and Gynecology
|December 1, 2015
PubMed

We report a case of a Somali refugee who presented in the second trimester of her first pregnancy with a four-week history of gradual right-sided sensomotoric hemisyndrome including facial palsy and left-sided paresis of the oculomotorius nerve causing drooping of the left eyelid and double vision. Cranial magnetic resonance imaging revealed a solitary brainstem lesion. Upon detection of hilar lymphadenopathy on chest X-ray (CXR), the diagnosis of disseminated tuberculosis with involvement of the central nervous system was confirmed by PCR and treatment induced with rifampicin, isoniazid, pyrazinamide, and ethambutol. The patient had a steady neurological improvement and a favorable pregnancy outcome.

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