A rare co-occurrence of optochiasmatic tuberculoma and guillain-barre syndrome as a paradoxical reaction in tubercular meningitis

Tuberculosis (TB) is the leading infectious cause of death worldwide. Tubercular meningitis is the most severe form of extrapulmonary TB which carries high morbidity and mortality. Intracranial tuberculoma may develop paradoxically during the treatment of tubercular meningitis, which is a quite rare occurrence. There are many reported cases of paradoxical development of optochiasmatic tuberculoma during the treatment of tubercular meningitis, causing severe visual impairment. Association of Guillain-Barré syndrome with TB is a rare entity. However, the co-occurrence of optochiasmatic tuberculoma and Guillain-Barré syndrome is even rarer and not reported before in literature. Here, we present the first case of co-occurrence of optochiasmatic tuberculoma and Guillain-Barré Syndrome, developing as a paradoxical reaction in a 23-year-old male.