Third cranial nerve palsy as an initial presentation of tuberculous meningitis

In this case report, we present a 54-year-old male patient diagnosed with tuberculous meningitis after presenting with third cranial nerve palsy. Tuberculous meningitis is a rare but potentially fatal infection in certain clinical conditions, and its diagnosis can be challenging, especially when patients present with atypical symptoms. Early treatment is crucial, as delayed therapy may lead to a high risk of mortality. This case report highlights the importance of considering tuberculous meningitis in the differential diagnosis after excluding other common and life-threatening causes in the presence of atypical findings, such as third cranial nerve palsy. Prompt initiation of treatment is essential when there is clinical suspicion.