First case report of cavernous sinus tuberculoma in a child

Abstract

Cavernous sinus tuberculoma is very rare. This is the first reported case in a child. A 3-year-old girl presented with progressive cavernous syndrome even though adequate antibiotics had been given. Neuroimaging could not conclusively differentiate other previously reported cavernous lesions such as lymphoma, meningioma, or fungal infection. Acavernous biopsy was not allowed by her parents, but antituberculous agents were given due to abnormal chest film, reactive tuberculin test, and positive Mycobacterium tuberculosis culture from the gastric contents. Complete recovery occurred without other medication. Cavernous tuberculoma was inferred from the therapeutic response to antituberculous agents.

Keywords

Cavernous sinus - tuberculoma - Mycobacterium tuberculosis - ophthalmoplegia