We report a case of a Somali refugeewho presented in the second trimester of her first pregnancy with a four-week history of gradual\nright-sided sensomotoric hemisyndrome including facial palsy and left-sided paresis of the oculomotorius nerve causing drooping\nof the left eyelid and double vision. Cranial magnetic resonance imaging revealed a solitary brainstem lesion. Upon detection of\nhilar lymphadenopathy on chest X-ray (CXR), the diagnosis of disseminated tuberculosis with involvement of the central nervous\nsystem was confirmed by PCR and treatment induced with rifampicin, isoniazid, pyrazinamide, and ethambutol.The patient had\na steady neurological improvement and a favorable pregnancy outcome.
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