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.
Keywords
Hemiplegia alternans - millard-Gubler syndrome - weber’s syndrome - tuberculoma -
tuberculous meningitis
