Question 2839
{"accessible":false,"alternatives":[{"id":13853,"text":"can occur due to the extension or rupture of a subpial or subependymal focus to the subarachnoid spaces or ventricular system\r\n"},{"id":13854,"text":"diagnosing is limited by imaging "},{"id":13855,"text":"disseminates only by the hematogenous spread \r\n"},{"id":13856,"text":"has a rapid and easily recognizable clinical presentation in all cases, regardless of age \r\n"},{"id":13857,"text":"is most commonly in the elderly population"}],"archived":false,"correctAlternativeId":13853,"explanation":"\u003cp\u003eThe hematogenous spread of Mycobacterium tuberculosis primarily causes tuberculous meningitis; however, an alternative route for the development of tuberculous meningitis involves the extension or rupture of a subpial or subependymal focus (known as Rich focus) into the subarachnoid spaces or ventricular system.\u0026nbsp;\u003c/p\u003e\u003cp\u003eIn tuberculous meningitis, imaging is essential in timely diagnosis and reducing this condition's associated morbidity and mortality. Tuberculous meningitis often presents with an insidious course and nonspecific clinical symptoms, especially in children, making early diagnosis challenging. Tuberculous meningitis is a manifestation of CNS tuberculosis, most commonly seen in children and adolescents rather than in elderly patients.\u003c/p\u003e","id":2839,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2839","nextQuestionPath":"/articles/tuberculosis/questions/2205","relatedArticles":[{"id":8669,"title":"Tuberculous meningitis","link":"/articles/tuberculous-meningitis?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eWhich of the following statements about tuberculous meningitis is correct? Tuberculous meningitis…\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2839"}],"attemptsPercentages":[{"alternativeId":"13856","percentage":7},{"alternativeId":"13854","percentage":7},{"alternativeId":"13853","percentage":78},{"alternativeId":"13855","percentage":9},{"alternativeId":"13857","percentage":0}],"promptToLogin":false,"questionManager":false,"articleId":"tuberculosis"}