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Unique case of midbrain tuberculoma presenting as isolated inferior rectus palsy with nystagmus
Akkayasamy Kowsalya1, Umang Gajarlewar1, Namrata G Adulkar1
1Department of Neuro Ophthalmology, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Abstract:
Isolated brain stem tuberculoma constitutes about 5% of all intracranial tuberculomas. A case of isolated inferior rectus palsy with downbeat nystagmus due to presumed midbrain tuberculoma in an immunocompetent patient is described here. This report documents a rare entity of a combination of partial third nerve palsy with pupil involvement along with downbeat nystagmus.
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