Neuro-Ophthalmological Findings as First Manifestation of Occipital Tuberculoma

被引:1
|
作者
Ortiz, Alvaro [1 ,2 ,5 ,6 ]
Cardenas, Pedro [2 ,6 ]
Arana, Rodrigo [3 ,4 ,5 ,6 ]
Gomez, Luz [5 ,6 ]
Peralta, Marcela [5 ,6 ]
机构
[1] Ctr Especialidades Oftalmol ALJAORZA, Cornea Anterior Segment & Refract Surg, Machala, Ecuador
[2] Ctr Especialidades Oftalmol ALJAORZA, Neuro Ophthalmol & Ocular Electrophysiol, Machala, Ecuador
[3] Ctr Especialidades Oftalmol ALJAORZA, Intens Care, Machala, Ecuador
[4] Ctr Especialidades Oftalmol ALJAORZA, Internal Med, Machala, Ecuador
[5] Ctr Especialidades Oftalmol ALJAORZA, Machala, Ecuador
[6] Fdn Oftalmol Santander FOSCAL, Bucaramanga, Colombia
关键词
Vision disorders; intracranial tuberculoma; tuberculosis; magnetic resonance imaging; cerebral biopsy; MIMICKING;
D O I
10.1080/01658107.2020.1771740
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We present a 54-year-old male garbage collector, who came to the ophthalmology department due to one-month history of bilateral blurred vision, palinopsia, headache and visual geometrical hallucinations. The examination showed a normal anterior segment, a homonymous left upper central scotoma and tilted segmental hypoplasia of the optic nerve of the left eye. Contrast-enhanced brain magnetic resonance imaging showed a mass lesion in the right occipital cortex. At biopsy, tuberculosis was found. Subsequently, anti-tuberculous treatment led to a good response with resolution of the palinopsia and visual hallucinations, and improved vision.
引用
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页码:120 / 125
页数:6
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