Miliary brain tuberculomas and tuberculous meningitis presenting with stroke
Even though it is an uncommon presentation of tuberculosis, tuberculous meningitis is one of the most deadly manifestations. We report a case of a 6-year-old female who presented to the emergency room for left hemiparesis. Cerebral CT and MRI showed a right ischemic stroke with severe leptomeningiti...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323007458 |
| _version_ | 1797398711276404736 |
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| author | Hanane El Aggari Fatima zohra Ahsayen Narjisse Aichouni Siham Nasri Imane Kamaoui Imane Skiker |
| author_facet | Hanane El Aggari Fatima zohra Ahsayen Narjisse Aichouni Siham Nasri Imane Kamaoui Imane Skiker |
| author_sort | Hanane El Aggari |
| collection | DOAJ |
| description | Even though it is an uncommon presentation of tuberculosis, tuberculous meningitis is one of the most deadly manifestations. We report a case of a 6-year-old female who presented to the emergency room for left hemiparesis. Cerebral CT and MRI showed a right ischemic stroke with severe leptomeningitis in the medial cranial fossa. Numerous miliary tuberculomas were demonstrated, as well as a moderate hydrocephalus. Lumbar puncture revealed meningitis, and the mycobacterium tuberculosis polymerase chain reaction from CSF was positive. Pulmonary micronodules on chest CT were suggestive of tuberculosis. The clinical and radiological features, as well as the management approaches of this unusual disease complex, are addressed. |
| first_indexed | 2024-03-09T01:29:25Z |
| format | Article |
| id | doaj.art-7719247d9f86473eb9904dea9d999dad |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T01:29:25Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-7719247d9f86473eb9904dea9d999dad2023-12-10T06:14:27ZengElsevierRadiology Case Reports1930-04332024-02-01192798801Miliary brain tuberculomas and tuberculous meningitis presenting with strokeHanane El Aggari0Fatima zohra Ahsayen1Narjisse Aichouni2Siham Nasri3Imane Kamaoui4Imane Skiker5Department of Radiology, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed 1st University, Oujda, Morocco; Corresponding author.Department of Radiology, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed 1st University, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed 1st University, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed 1st University, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed 1st University, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed 1st University, Oujda, MoroccoEven though it is an uncommon presentation of tuberculosis, tuberculous meningitis is one of the most deadly manifestations. We report a case of a 6-year-old female who presented to the emergency room for left hemiparesis. Cerebral CT and MRI showed a right ischemic stroke with severe leptomeningitis in the medial cranial fossa. Numerous miliary tuberculomas were demonstrated, as well as a moderate hydrocephalus. Lumbar puncture revealed meningitis, and the mycobacterium tuberculosis polymerase chain reaction from CSF was positive. Pulmonary micronodules on chest CT were suggestive of tuberculosis. The clinical and radiological features, as well as the management approaches of this unusual disease complex, are addressed.http://www.sciencedirect.com/science/article/pii/S1930043323007458TuberculosisTuberculous meningitisCerebral infarctTuberculomas |
| spellingShingle | Hanane El Aggari Fatima zohra Ahsayen Narjisse Aichouni Siham Nasri Imane Kamaoui Imane Skiker Miliary brain tuberculomas and tuberculous meningitis presenting with stroke Radiology Case Reports Tuberculosis Tuberculous meningitis Cerebral infarct Tuberculomas |
| title | Miliary brain tuberculomas and tuberculous meningitis presenting with stroke |
| title_full | Miliary brain tuberculomas and tuberculous meningitis presenting with stroke |
| title_fullStr | Miliary brain tuberculomas and tuberculous meningitis presenting with stroke |
| title_full_unstemmed | Miliary brain tuberculomas and tuberculous meningitis presenting with stroke |
| title_short | Miliary brain tuberculomas and tuberculous meningitis presenting with stroke |
| title_sort | miliary brain tuberculomas and tuberculous meningitis presenting with stroke |
| topic | Tuberculosis Tuberculous meningitis Cerebral infarct Tuberculomas |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323007458 |
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