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Late Ophthalmological Sequelae of Tuberculous Meningitis
Author(s) -
MIETTINEN PENTTI,
WASZHÖCKERT OLE
Publication year - 1963
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1963.tb08794.x
Subject(s) - medicine , surgery , nystagmus , tuberculous meningitis , visual impairment , scars , optic nerve , meningitis , abducens nerve , sequela , palsy , ophthalmology , radiology , pathology , psychiatry , alternative medicine
Summary One hundred and three patients who had recovered from tuberculous meningitis in 1949—54 were thoroughly re‐examined ophthalmologically an average of 8 1/2 years (range 6—12 1/2 years) after recovery. One blind patient and one with severe visual impairment were found. In addition to these, a number of cases with ophthalmological sequelae of minor importance were found; partial structural and functional lesions of the optic nerve were found in 17 cases (including 1 case with associated abducens nerve palsy), nystagmus was found in 2, pupillary disturbances in 6 and scars of choroidal tubercles in 16 cases. Thus 36 cases (35 per cent) showed ophthalmological sequelae of the past illness. Permanent visual disability was found in the 2 cases mentioned above, both of them being late cases with a high block treated with trephination. Of the other sequelae of the disease only intracranial calcification showed some degree of correlation with the ophthalmological sequelae.