{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:42:39Z","timestamp":1777581759419,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This article aims to describe a patient with Parinaud syndrome due to neurotuberculosis confirmed by cerebrospinal fluid analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>Initially, patient sought medical care, performed a chest x-ray and later a chest CT scan, with a probable diagnosis of miliary tuberculosis. In addition, she presented binocular diplopia worse at right lateral gaze, paresis of vertical gaze, light near-dissociation and convergent retraction nystagmus and presence of mycobacterium tuberculosis on PCR Xpert MTB\/RIF. The treatment of miliary tuberculosis was interrupted due to pharmacodermia, but after diagnosis of neurotuberculosis, it was restarted with isoniazid, pyrazinamide and ethambutol with partial visual symptoms improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case demonstrates the importance of pursuing diagnosis through more accurate techniques, especially in a patient with previous treatment pharmacoderma, whose absence of proper diagnosis and treatment would be extremely deleterious.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721221098284","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T11:41:33Z","timestamp":1651146093000},"page":"NP138-NP142","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Parinaud syndrome due to cofirmed neurotuberculosis in a lupus eritematosis systemic patient"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7405-4998","authenticated-orcid":false,"given":"Jos\u00e9 Wagner Leonel","family":"Tavares-J\u00fanior","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine, Universidade Federal do Cear\u00e1, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Newton","family":"Teles J\u00fanior","sequence":"additional","affiliation":[{"name":"Medical coordination of the intensive care unit of Hospital Genesis, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir C\u00e2mara","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade de Fortaleza - UNIFOR, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thiago Toscano","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Christus, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo Picasso de Ara\u00fajo","family":"Coimbra","sequence":"additional","affiliation":[{"name":"Uniclinic Diagn\u00f3stico por Imagem- UDI Fortaleza, Centro Universitario Chirstus, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta dos Santos Silva","family":"Luiz","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade BR, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"bibr1-11206721221098284","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1993.tb121924.x"},{"key":"bibr2-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13283"},{"key":"bibr3-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(20)30376-7"},{"key":"bibr4-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2009.06.011"},{"key":"bibr5-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2018-214819"},{"key":"bibr6-11206721221098284","volume-title":"Statpearls [internet]","author":"Feroze KB"},{"key":"bibr7-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0027900"},{"key":"bibr8-11206721221098284","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade. Departamento de Vigil\u00e2ncia das Doen\u00e7as Transmiss\u00edveis. Manual de Recomenda\u00e7\u00f5es para o Controle da Tuberculose no Brasil \/ Minist\u00e9rio da Sa\u00fade, Secretaria de Vigil\u00e2ncia em Sa\u00fade, Departamento de Vigil\u00e2ncia das Doen\u00e7as Transmiss\u00edveis. \u2013 Bras\u00edlia: Minist\u00e9rio da Sa\u00fade, 2019."},{"key":"bibr9-11206721221098284","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.10.0574"},{"key":"bibr10-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001536"},{"key":"bibr11-11206721221098284","doi-asserted-by":"publisher","DOI":"10.1007\/BF00344170"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721221098284","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721221098284","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721221098284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:46:29Z","timestamp":1777405589000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/11206721221098284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/11206721221098284"],"URL":"https:\/\/doi.org\/10.1177\/11206721221098284","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]}}}