Related Experiment Video

Updated: Nov 30, 2025

Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients
12:23

Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients

Published on: April 14, 2014

14.4K

Isolated Oculomotor Nerve Palsy - A Rare Initial Manifestation of Tuberculous Meningitis

Akhilesh Kumar Singh1, Prabhat Agarwal2, Rohit Baiswar3

  • 1Assistant Professor, Sarojini Naidu Medical College, Agra, Uttar Pradesh.

The Journal of the Association of Physicians of India
|November 13, 2020
PubMed

Insights

Tuberculous meningitis (TBM) can present rarely as isolated oculomotor nerve palsy. Early diagnosis is crucial, and TBM should be considered in such neurological presentations.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Ophthalmology

Background:

  • Tuberculous meningitis (TBM) is a severe form of meningitis with varied clinical presentations.
  • Delayed diagnosis of TBM can lead to significant neurological deficits.

Observation:

  • An 18-year-old female presented with isolated left-sided ptosis.
  • Neurological examination confirmed an isolated 3rd cranial nerve palsy.
  • Brain imaging (CT and MRI) showed no abnormalities.

Findings:

  • Cerebrospinal fluid (CSF) analysis confirmed the diagnosis of Tuberculous Meningitis.
  • This case highlights an unusual initial manifestation of TBM.

Implications:

  • Tuberculous meningitis should be included in the differential diagnosis for isolated oculomotor nerve palsy.
  • Raising awareness of rare TBM presentations can improve diagnostic timelines.
  • Early recognition and treatment of TBM are vital for patient outcomes.

More Related Videos

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line04:06

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

2.8K
Ocular Therapeutic Delivery and Advanced Tissue Retrieval in Adult Rats06:30

Ocular Therapeutic Delivery and Advanced Tissue Retrieval in Adult Rats

Published on: May 23, 2025

615

Related Concept Videos

Cranial Nerves: Types Part I01:14

Cranial Nerves: Types Part I

Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
4.1K
Accessory Structures of the Eye01:17

Accessory Structures of the Eye

Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
2.9K
Pulmonary Tuberculosis III01:31

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
663
Muscles of the Eye01:20

Muscles of the Eye

The muscles of the eye are sophisticated structures that control eye movement and focus, allowing for the precise and rapid adjustments necessary for vision. The human eye is controlled by ten muscles — six extraocular muscles, three intraocular muscles, and one primary eyelid retractor muscle.
Extraocular Muscles
The six extraocular muscles surround the eyeball and control its movements. They are responsible for a wide range of eye motions, including looking up, down, left, right, and...
3.0K
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
565
Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
986