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A Journal on Ophthalmology




Minerva Oftalmologica 2007 March;49(1):51-4

language: English

Bilateral panuveitis and intracranial tuberculoma. Case report

Erdem Y. 1, Koktekir E. 1, Gokcek C. 1, Bayar M. A. 1, Tekiner A. 1, Pulat H. 2, Kilic C. 1

1 Department of Neurosurger S.B. Ankara Training and Research Hospital Ankara, Turkey
2 Department of Pathology S.B. Ankara Training and Research Hospital Ankara, Turkey


A 24-year old female patient who came from Africa as a refugee, applied to our clinic with complaints of progressive sight loss for the last 5 years and headache for one year. She had diagnosed uveitis 5 years ago, had several topical treatments, but none healed her completely. Physical examination was normal except for bilateral panuveitis. Magnetic resonance imaging which was performed in order to evaluate her severe headache showed intracranial mass. The mass removed gross totally via left frontal craniotomy. The histopathological evaluation showed that the mass was a tuberculoma. The primary tuberculosis focus cannot be detected. The sight loss of the patient did not show any improvement with antituberculosis treatment. Intracranial tuberculoma was thought to be originated from spread of ocular tuberculosis. In patients who do not have symptoms of active tuberculosis, diagnosis of ocular involvement is difficult. Thus, if clinical presentation is suspicious, tuberculosis must be considered and evaluated.

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