Tiny Magnetic Resonance Imaging Black Spot - Presenting An Interesting Case Of Internuclear Ophthalmoplegia With Radioanatomical Correlation

Horizontal gaze palsy involves three different entities of similar imaging findings with subtle differences and a prominent difference in the clinical findings. A thorough knowledge of the anatomy of the pathway of horizontal gaze pathways is essential before coming to the correct diagnosis. Here, we report the case of a 42-year-old male patient presented with a history of impaired vision for 1 day. Through this case report, we will revisit these three entities with a brief discussion on the pathways involved in horizontal gaze palsies.

Neurological melioidosis presenting as intracranial abscess.

Melioidosis is an emerging disease in our country caused by the bacteria Burkholderia pseudomallei. Melioidosis can virtually affect any organ. It has varying clinical presentations ranging from pneumonia to fatal sepsis. Central nervous system (CNS) involvement in melioidosis is rare. We present a case of CNS melioidosis from South India. As the incidence of diabetes is increasing in our country varying manifestations of melioidosis will be seen in routine clinical practice. Melioidosis should be considered in the differential diagnosis of intracranial abscess and meningoencephalitis, especially in diabetics.