Letter to the Editor

Permanent Visual Loss Despite Appropriate Therapy in Tuberculous Meningitis

Authors: Mustafa Sunbul, MD, Hakan Leblebicioglu, MD, Derya Turan, MD, Saban Esen, MD, Arif Onder, MD, Resat Ozaras, MD, Recep Ozturk, MD

Abstract

To the Editor:


Tuberculous meningitis (TBM) is one of the most serious forms of tuberculous disorders with considerable complications and mortality.1Ocular complications may result from optochiasmatic arachnoiditis, hydrocephalus, development of tuberculoma which presses on optic pathways, or anti-TB therapy.2 We herein report a case of TBM causing sudden onset and rapidly progressive visual loss despite appropriate anti-TB therapy.

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References

1. Henry M, Holzman RS. Tuberculosis of the brain, meninges, and spinal cord. In: Rom WN, Garay SM (eds). Tuberculosis, 2nd ed. Philadelphia, Lippincott Williams & Wilkins, 2004, pp 445–464.
 
2. Kadioglu HH, Gundogdu C, Deniz O, et al. Optochiasmatic tuberculoma–case report and review. Zentralbl Neurochir 1996;57:30–36.
 
3. Friedberg DN, Lorenzo-Latkany M. Ocular complications. In: Rom WN, Garay SM (eds). Tuberculosis, 2nd ed. Philadelphia, Lippincott Williams & Wilkins, 2004, pp 465–476.