Tuberculous meningitis
Diagnosis probable
Disclosures
- updated 9 Mar 2023:
Nothing to disclose
Updates to Case Attributes
Age
changed from 17 years to 20 years.
Body
was changed:
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>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>- +<p>The findings are characteristic of <a href="/articles/tuberculous-meningitis" title="Leptomeningitis - Tuberculous">basal meningitis</a> associated with mild <a href="/articles/hydrocephalus" title="Hydrocephalus">hydrocephalus</a>. 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: slight dilation of the temporal horns and subtle dilation of the third ventricle.
C+ CT (axial and coronal): the presence of leptomeningeal contrast enhancement predominantly in the basilar cisterns with the presence of multiple granulomas.
Images Changes:
Image 1 CT (non-contrast) ( create )
Annotation 13287
changed from ,0 arrows,0 labels to temporal horns,2 arrows,1 label.
Image 1 CT (non-contrast) ( create )
Annotation 13288
changed from ,0 arrows,0 labels to third ventricle,1 arrow,1 label.
Image 6 CT (C+ delayed) ( create )
Annotation 13289
changed from ,0 arrows,0 labels to multiple granulomas,2 arrows,1 label.
Image 6 CT (C+ delayed) ( create )
Annotation 13290
changed from ,0 arrows,0 labels to Leptomeningeal enhancement,2 arrows,1 label.
Unable to process the form. Check for errors and try again.