PT  - JOURNAL ARTICLE
AU  - Vivekanand Undrakonda
AU  - Shashikiran Umakanth
TI  - Short duration respiratory illness with abducens palsy in a young man
AID  - 10.1136/bcr.07.2011.4470
DP  - 2011 Oct 14
TA  - BMJ Case Reports
PG  - bcr0720114470
VI  - 2011
4099  - http://casereports.bmj.com/content/2011/bcr.07.2011.4470.short
4100  - http://casereports.bmj.com/content/2011/bcr.07.2011.4470.full
AB  - Acute onset of diplopia associated with high-grade fever, sore throat and cough without features of raised intracranial tension in a young patient is an uncommon presentation. A diagnosis of abducent nerve palsy due to pontine tuberculoma associated with miliary tuberculosis was made based on sputum examination, chest x-ray and MRI. On diagnosis, monocular patching of the left eye was performed to avoid diplopia and primary antitubercular drugs with systemic steroids were given. An unfortunate 48 h delay in starting the antitubercular treatment likely decreased the probability of survival.