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J Pediatr Infect Dis 2010; 05(01): 087-090
DOI: 10.3233/JPI-2010-0209
DOI: 10.3233/JPI-2010-0209
Tuberculous meningitis presenting as hemiplegia alternans in two children
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Further Information
Publication History
23 December 2008
14 May 2009
Publication Date:
28 July 2015 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00029028/201001/lookinside/thumbnails/10.3233-jpi-2010-0209-1.jpg)
Abstract
We describe the crossed syndromes of Millard-Gubler (facial palsy and contralateral hemiparesis) and Weber (oculomotor palsy and contralateral hemiparesis) in two children with tuberculous meningitis. The magnetic resonance imaging delineated the pathology in both cases and response to therapy proved favorable. In both children the cranial neuropathies resolved whilst the hemiparesis persisted. The cases highlight the importance of considering neurotuberculosis as a cause of hemiplegia alternans in endemic tuberculosis areas.