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
Gender: Female

Multiple ring enhancing lesions as described, along with basal enhancing exudates.

Case Discussion

MRI of the brain of an 11 year old female who presented with fever, altered sensorium and seizures over a six week period, reveals 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.

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

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Case information

rID: 8853
Case created: 4th Mar 2010
Last edited: 19th Nov 2016
Inclusion in quiz mode: Included

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