Tubercular meningitis with tuberculomas

Case contributed by Dr Praveen Jha

Presentation

Fever, altered sensorium, seizures for a period of 6 weeks.

Patient Data

Age: 11 years
Gender: Female

This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Marked leptomeningeal enhancement, shaggy tentorial enhancement, enhancing basal exudates and multiple conglomerate ring-enhancing lesions predominantly in basal cisterns. Obstructive hydrocephalus is also noted, with a right-sided parietal VP shunt in situ. 

Features are consistent with tuberculous meningitis with tuberculomas.

Case Discussion

CSF study reveals pleocytosis, decreased sugar level and increased protein.

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