Tuberculous meningitis

Case contributed by Renzo Martin Geldres , 29 Feb 2024
Diagnosis probable
Changed by Arlene Campos, 29 Feb 2024
Disclosures - updated 9 Jun 2023: Nothing to disclose

Updates to Case Attributes

Presentation was changed:
Headache, fever, and progressive alteration of the estatestate of consciousness in a two week-week period.
Edit Without Moderation was set to true.
Body was changed:

The findings are characteristic of basalmeningitis asociatedassociated with mild hydrocephalus. Basal Contrastcontrast enhancement is not patognomonicpathognomonic of tuberculous meningitis,; it needs to be asociatedassociated with the clinical manifestations, previous history, and epidemiological aspects (especially in endemic regions).

  • -<p>The findings are characteristic of basal meningitis asociated with mild hydrocephalus. Basal Contrast enhancement is not patognomonic of tuberculous meningitis, it needs to be asociated with the clinical manifestations, previous history and epidemiological aspects (especially in endemic regions)</p>
  • +<p>The findings are characteristic of basal meningitis associated with mild hydrocephalus. Basal contrast enhancement is not pathognomonic of tuberculous meningitis; it needs to be associated with the clinical manifestations, previous history, and epidemiological aspects (especially in endemic regions).</p>

Updates to Study Attributes

Findings was changed:

NCCT: Slightslight dilation of the temporal horns and subtle dilation of the third ventricle.

C+ CT (Axial (axial and Coronalcoronal): Presencethe presence of leptomeningeal contrast enhancement predominantly in the basilar cisterns with the presence of multiple granulomas.

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