Internuclear ophthalmoplegia in tuberculous meningitis

Tubercle. 1989 Mar;70(1):61-4. doi: 10.1016/0041-3879(89)90067-6.

Abstract

Two patients with tuberculous meningitis and internuclear ophthalmoplegia are described. Despite treatment with anti-tuberculosis chemotherapy and corticosteroids, both patients died. In one case autopsy showed severe basal meningitis with diffuse brain stem infarction secondary to widespread vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Stem / blood supply
  • Cerebral Infarction / complications
  • Dexamethasone / therapeutic use
  • Drug Therapy, Combination
  • Endarteritis / complications
  • Endarteritis / drug therapy
  • Humans
  • Isoniazid / therapeutic use
  • Male
  • Middle Aged
  • Ophthalmoplegia / drug therapy
  • Ophthalmoplegia / etiology*
  • Prognosis
  • Pyrazinamide / therapeutic use
  • Rifampin / therapeutic use
  • Tuberculosis, Meningeal / complications*
  • Tuberculosis, Meningeal / drug therapy

Substances

  • Pyrazinamide
  • Dexamethasone
  • Isoniazid
  • Rifampin