Affiliations: Department of Pediatrics and Child Health, Tygerberg
Children's Hospital Faculty of Health Sciences, University of Stellenbosch,
Western Cape, South Africa
Note: [] Correspondence: Dr. Ronald van Toorn, Department of Pediatrics
and Child Health, Faculty of Health Sciences, PO Box 19063, Tygerberg 7505
Western Cape, South Africa. Tel.: +27 21 938 5635; Fax: +27 21 938 9138;
E-mail: vtoorn@sun.ac.za
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.
