Optochiasmatic tuberculoma as complication of tuberculous meningitis. A new case and literature review

Optochiasmatic tuberculomas are rare and have a poor prognosis if not diagn osed early and treated adequately. We report the case of 4-year-old boy who presented a chiasmatic tuberculoma after tuberculous meningitis revealed b y progressive visual failure. Cerebral gadolinium enhanced magnetic resonan ce imaging demonstrated a chiasmatic and a brainstem ringlike enhancing les ions. Outcome was favorable with antituberculosis therapy and corticosteroi ds. Are recalled the diagnostic aspects, notably the neuro radiological fin dings, in this particular localisation of tuberculosis with a review of the similar thirty-three cases reported in the literature.