Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(02): 400-402
DOI: 10.4103/ajns.AJNS_86_16
Case Report

Tectal tuberculoma: An unusual cause of Parinaud's Syndrome

Pravin Survashe
Department of Neurosurgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, Maharashtra
,
Sachin Guthe
Department of Neurosurgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, Maharashtra
,
Vernon Velho
Department of Neurosurgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, Maharashtra
,
Harish Naik
Department of Neurosurgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, Maharashtra
› Author Affiliations
› Further Information
Also available at
  PDF Download Permissions and Reprints

Introduction: Parinaud's Syndrome is an inability to move the eyes upwards which is caused by damage to the tectal plate of midbrain. Commonest causes implicated are the Pineal tumors in children, Multiple Sclerosis in adults and stroke in elderly patients. We present a rare case of Tectal plate tuberculoma leading to Parinaud's Syndrome. Discussion: Parinaud's syndrome is caused by damage to the tectal plate or posterior commissure of midbrain. Our patient presented with upward gaze paresis and was diagnosed to have tuberculoma involving the midbrain region. He was managed conservatively and responded to the treatment. Conclusion: Tectal plate tuberculoma though a rare possibility, warrants proper diagnostic workup in order to prevent unnecessary brainstem surgery.

Key-words:

Hydrocephalus - parinaud's syndrome - tectal plate - tuberculoma


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India