Tuberculous meningitis

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Headache and vomitting

Patient Data

Age: 30 years
Gender: Female
mri

Nodular and ring enhancing lesions in bilateral sylvian fissures, left ambient cistern and along superomedial aspects of left tentorium cerebelli.
Irregular, nodular enhancement is also seen along surface of brainstem.

Case Discussion

Findings are suggestive of tuberculous meningitis.

CSF was positive for M. tuberculosis.

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