Miliary intracranial tuberculomas with tuberculous meningitis
Miliary tuberculosis of the lung on four antitubercular drug therapy. Headache, neck stiffness. MRI is done after an equivocal CT brain.
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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
Miliary granulomas are rare presentations of CNS tuberculosis.
- Miliary tuberculomas of the brain: case report Ahmed Alkhani, Faisal Al-Otaibi, Edward J. Cupler, Boleslaw Lach Clinical Neurology and Neurosurgery - June 2006 (Vol. 108, Issue 4, Pages 411-414, DOI: 10.1016/j.clineuro.2005.01.003)