PDF(Pubmed)
Abstract：
Tuberculosis is a worldwide health concern with a wide range of clinical manifestations. Rarely, it can involve the central nervous system in the form of tuberculomas. Although cranial nerve palsies or localized neurological signs are the most frequent presentations of tuberculoma, isolated sixth nerve palsy is unusual and rare. We report the case of a 17-year-old female who presented with isolated sixth nerve palsy, an unusual early manifestation of intracranial tuberculoma. We established the diagnosis through clinical, radiological, and laboratory evaluations and successfully managed the patient with antitubercular therapy. This case highlights the importance of considering tuberculoma as a differential diagnosis in cases of isolated cranial nerve palsies, especially in regions with a high prevalence of tuberculosis.
摘要：
结核病是世界性的健康问题,具有广泛的临床表现。很少,它可以以结核瘤的形式涉及中枢神经系统。尽管颅神经麻痹或局部神经体征是结核瘤的最常见表现，孤立的第六神经麻痹是罕见且罕见的。我们报告了一个17岁的女性，她出现了孤立的第六神经麻痹，颅内结核瘤的异常早期表现。我们通过临床建立了诊断，放射学,和实验室评估，并成功地管理了患者的抗结核治疗。该病例强调了在孤立的颅神经麻痹病例中将结核瘤作为鉴别诊断的重要性。尤其是在结核病流行率较高的地区。
