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 years
Gender: Male
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Info
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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