Miliary intracranial tuberculomas with tuberculous meningitis

Case contributed by Dr Paresh K Desai

Presentation

Miliary tuberculosis of the lung on four antitubercular drug therapy. Headache, neck stiffness. MRI is done after an equivocal CT brain.

Patient Data

Age: 35
Gender: Male

CSF analysis was with high proteins, lymphocyte predominant cerebrospinal fluid.

Adenosine Deaminase of CSF>30units

Focal meningeal thickening in the suprasellar cistern, along the clivus with multiple miliary granulomas.

Chronic infarct in the right basal ganglia region and in the left cerebellar peduncles

Case Discussion

Miliary granulomas are rare presentations of CNS tuberculosis.

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Case information

rID: 17903
Case created: 23rd May 2012
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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