Título

PAPILLEDEMA SECONDARY TO CEREBRAL TUBERCULOSIS: CASE REPORT AND LITERATURE REVIEW.

Introdução / Purpose

To report a case and discuss the topics

Material e Método / Methods

Analysis of medical records from João Penido Burnier`s Foundation and literatura review. Patient 37 year-old - woman was referred to our center with headache, diplopia , dizziness and divergent strabismus in right eye for 30 days. Ophthalmic examination revealed anisocoria with right eye miosis and exotropia. Brain magnetic resonance imaging revealed a granulomatous process in the right pontine cistern. Thoracic tomography revealed a calcified pulmonary nodule. Patient underwent to Sarcoidosis and Tuberculosis screening as negative BAAR test and normal dosage angiotensin converting enzyme. Progressed with the and increased cerebrospinal fluid pressure and papilledema.

Resultados / Results

The patient received treatment for cerebral tuberculosis with Ethambutol, Pyrimethamine, Isoniazid and Rifampicin and progressed with improvement of papilledema and other symptoms

Discussão e Conclusões / Discussion

Tuberculosos can affect all eye tissues and causes choroiditis, uveitis, scleritis, corneal ulcer and optic neuritis. The tuberculin test is of limited value for diagnosis. In the case report, we observed papilledema and paresis of the sixth cranial nerve secondary to cranial hypertension due to the formation of granuloma in the pontine cistern. Despite the negative tuberculin tests, the patient was submitted to treatment for neural Tuberculosis and evolved with improvement of the condition. Therefore the ophthalmic signs and symptoms were paramount for diagnosis.

Palavras Chave

Tuberculosis; Papilledema;

Area

CLINICAL RETINA