Neuro-Ophthalmological Findings as First Manifestation of Occipital Tuberculoma

ABSTRACT

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.

KEYWORDS:

• Vision disorders
• intracranial tuberculoma
• tuberculosis
• magnetic resonance imaging
• cerebral biopsy

Ethics approval and consent to participate

All the scientific and ethical principles of the Helsinki Declaration on Human Research were respected.

Consent for publication

Written informed consent was obtained from the patient for publication of this Case report and any accompanying images.

Declaration of interest statement

The authors declare that there are no competing interests.