A Child with Tuberculous Meningitis Complicated by Cortical Venous and Cerebral Sino-Venous Thrombosis

被引:9
|
作者
Dhawan, Sumeet R. [1 ]
Chatterjee, Debajyoti [2 ]
Radotra, Bishan Dass [2 ]
Vaidya, Pankaj C. [1 ]
Vyas, Sameer [3 ]
Sankhyan, Naveen [1 ]
Singhi, Pratibha D. [1 ]
机构
[1] Postgrad Inst Med Educ & Res PGIMER, Dept Pediat, Chandigarh 160012, India
[2] Postgrad Inst Med Educ & Res PGIMER, Dept Histopathol, Chandigarh 160012, India
[3] Postgrad Inst Med Educ & Res PGIMER, Dept Radiodiag, Chandigarh 160012, India
来源
INDIAN JOURNAL OF PEDIATRICS | 2019年 / 86卷 / 04期
关键词
TBM; Chronic meningitis; Recurrent stroke; Meningeal tuberculosis; Tubercular meningitis; Arteritis; Meningo-vasculitis; Vasculitis; Paradoxical phenomenon; VENTRICULITIS; PREDICTORS; STROKE;
D O I
10.1007/s12098-018-2830-x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Stroke is common in tuberculous meningitis. Stroke commonly affects the tubercular zone, comprising the anterior part of the thalamus, caudate and the internal capsule (anterior limb and genu). Stroke, in tuberculous meningitis is predominantly arterial ischemic stroke, and is due to infiltrative, proliferative or necrotizing arteritis. Rarely, aneurysm formation and mycotic aneurysms have also been described. The authors describe the clinical and autopsy findings of a 27-mo-old boy with tuberculous meningitis whose course was complicated by arterial and venous strokes, and nonresponse to adequate and appropriate antitubercular therapy.
引用
收藏
页码:371 / 378
页数:8
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