Intracranial tuberculous infection

Case contributed by Dr Hidayatullah Hamidi

Presentation

Headache and altered mental status.

Patient Data

Age: 15 years
Gender: Female

Multiple small size round ring-enhancing focal lesions are seen scattered throughout the cerebrum and cerebellum. The lesions are not clearly visualized on conventional T1WI and T2WI, however, a few of the lesions are visualized on the FLAIR sequence.

There is also leptomeningeal enhancement.

No diffusion restriction. No blooming artifact on T2* GRE sequence. 

Case Discussion

This patient had a known history of pulmonary tuberculosis and the imaging features are in favor of intra- and extra-parenchymal intracranial tuberculosis.  

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Case information

rID: 63662
Published: 9th Dec 2019
Last edited: 10th Dec 2019
Inclusion in quiz mode: Included

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