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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 179483, 6 pages
http://dx.doi.org/10.1155/2015/179483
Case Report

Brainstem Tuberculoma in Pregnancy

1Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland
2Department of Obstetrics and Fetomaternal Medicine, Medical University Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria

Received 12 August 2015; Accepted 21 October 2015

Academic Editor: Edi Vaisbuch

Copyright © 2015 Dana A. Muin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of a Somali refugee who presented in the second trimester of her first pregnancy with a four-week history of gradual right-sided sensomotoric hemisyndrome including facial palsy and left-sided paresis of the oculomotorius nerve causing drooping of the left eyelid and double vision. Cranial magnetic resonance imaging revealed a solitary brainstem lesion. Upon detection of hilar lymphadenopathy on chest X-ray (CXR), the diagnosis of disseminated tuberculosis with involvement of the central nervous system was confirmed by PCR and treatment induced with rifampicin, isoniazid, pyrazinamide, and ethambutol. The patient had a steady neurological improvement and a favorable pregnancy outcome.