<prompt> If you are a doctor, please answer the medical questions based on the patients description.a young patient diagnosed TB meningitis and on ATT, referred to ophthal op for co diplopia.. on examination her vision is 69 in both eyes, restriction of abduction, dextroelevation ,dexrodepression mimicking lateral rectus palsy in right eye other movements are normal. diplopia is present in all gazes.. no ocular pain. MRI shows lenticular infarcts and lesions in cerebellum. no lesions related to orbit.. what could be the reason?  <response>: Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1Start treatment for tuberculous meningitis INHRIFPA 2Check ICP and add steroid3management of Ventricular infarct should be with-Activan, Cerebyx, Cardene Mannitol4Control BP and ICP in ICU which is the key factor of patient management recovery. I hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, 