A 60 year old man presented with complaints of nasal obstruction (left side), smell disorder , headache and neuralgia on the left side of his face for 2 years, ptosis and diplopia followed by reduction vision of the left side.
The patient was treated in another institution with antibiothiques and antituberculous drugs.
After two weeks, the treatement was stopped because of the deterioration of the neurologic status, and the appearence of new symptoms such as mouth opening limitation, dyspnea, difficulty of swallowing (dysphagia) and cerebellar syndrome. So all cranial nerves at the left side were dysfonctionnal.