Meningitis

Case contributed by Vinay Shah
Diagnosis almost certain

Presentation

Neck stiffness and headache in a patient from Asia.

Patient Data

Age: 20 years
Gender: Female
mri
This study is a stack
Axial
T2
This study is a stack
Coronal
FLAIR
This study is a stack
Axial
T1
This study is a stack
Sagittal
T2
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal
T1 C+
This study is a stack
Coronal
T1 C+
This study is a stack
Axial
Gradient Echo
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
T1 C+
fat sat
This study is a stack
Sagittal
T2
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Info

Exaggerated meningeal enhancement at right frontal extra-axial region and surrounding the surface of spinal cord.  Focal hyperintense signal is seen on the T2W, FLAIR images in the right frontal region. 

Case Discussion

CSF findings suggestive of changes of tuberculous meningitis

Focal meningitis at right frontal region and surrounding the spinal cord.

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