<human>: a young patient diagnosed TB meningitis and on ATT, referred to ophthal op for c/o diplopia.. on examination her vision is 6/9 in both eyes, restriction of abduction, dextroelevation ,dexrodepression mimicking lateral rectus palsy in right eye other movements are normal. diplopia is present in all gazes.. no ocular pain. MRI shows lenticular infarcts and lesions in cerebellum. no lesions related to orbit.. what could be the reason?
<bot>: Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)Start treatment for tuberculous meningitis INH+RIF+PA 2)Check ICP and add steroid3)management of Ventricular infarct should be with-Activan, Cerebyx, Cardene & Mannitol4)Control BP and ICP in ICU which is the key factor of patient management & recovery. I hope I was able to ad Chat Doctor.  If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,