Tuberculous meningitis is the most common presentation of intracranial tuberculosis, and usually refers to infection of the leptomeninges. Uncommonly. Published online: January 07, Issue release date: Number of Print Pages: Number of Figures: 0. Number of Tables: 0. ISSN: (Print). Tuberculous meningitis (TBM) develops in 2 steps. Mycobacterium tuberculosis bacilli enter the host by droplet inhalation.
|Published (Last):||26 August 2005|
|PDF File Size:||4.53 Mb|
|ePub File Size:||19.12 Mb|
|Price:||Free* [*Free Regsitration Required]|
Tuberculous meningitis | Radiology Reference Article |
Log in Sign up. Cerebrospinal Fluid in Clinical Practice. Advances in Research and Treatment: Case 4 Case 4. Tuberculous meningitis is also known as TB meningitis or tubercular meningitis.
In low prevalence areas it is more tuberculosx encountered in adolescents and adults. Oxford Handbook of Key Clinical Evidence. From here, infection spreads to interpeduncular cisternsaround optic chiasm and to pontomesencephalic, ambient and suprasellar cisterns. Cellular and Molecular Basis. In other projects Wikimedia Commons. ELISPOT testing is not useful for the diagnosis of acute TB meningitis and is often false negative,  but may paradoxically become positive after treatment has started, which helps to confirm the diagnosis.
Anti-tuberculosis regimen is started after confirmation of diagnosis. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Choroid plexitis may also be a late manifestation as is mass-like regions of caesous necrosis within this exudate.
[Pathogenesis of leptomeningitis tuberculosa].
When collecting CSF for suspected TB meningitis, a minimum of 1 ml of fluid should be taken preferably 5 to 10ml. The infection spreads hematogenously from a distant focal point, usually pulmonary tuberculosis and lodges immediately deep to the pia forming Rich foci. Meningitis and other diseases of meninges G00—G03— Kornienko VN, Pronin I. This is a group of tests that use polymerase chain reaction PCR to detect mycobacterial nucleic acid.
The remainder of this article pertains to leptomeningeal tuberculosis, which involves the arachnoid mater and pia mater. Blood culture, CT scan . Acute and Critical Care Medicine at a Glance.
Cochrane Database of Systematic Reviews. CSF analysis reveals lymphocytosis, increased protein level and decreased glucose levels. Read it at Google Books – Find it at Amazon.
Fever and headache are the cardinal features; confusion is a late feature and coma bears a poor prognosis. Tuberculoid leprosy Borderline tuberculoid leprosy Borderline leprosy Borderline lepromatous leprosy Lepromatous leprosy Histoid leprosy. Articles Cases Courses Quiz. Handbook of Pharmacy Healthcare: