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Updated: Dec 10, 2025
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
[Cerebral infarction and tuberculosis: case report and literature review]
T Tala-Ighil1, S Greffe1, S Trad1
1Assistance Publique Hôpitaux de Paris, Service de médecine interne, Hôpital Ambroise Paré, 92100 Boulogne Billancourt, France; Université de Versailles Saint Quentin, UFR Simone Veil, 78000 Versailles, France.
Introduction:
Although tuberculous meningitis is an uncommon presentation of tuberculosis, it still remains one of the deadliest forms of this disease. In this context, the occurrence of a cerebral infarct is an aggravating factor.
Observation:
A 48-year-old Asian man presented himself in the emergency room for dysarthria and dysphagia of progressive onset. Cerebral CT showed a recent ischemic defect of the right internal capsule. Lumbar puncture showed meningitis with low sugar levels. Pulmonary micronodules on the thoracic CT suggested tuberculosis, which was confirmed by a broncho-alveolar lavage. Anti-tuberculosis treatment and early corticosteroid resulted in an improvement of the patient's state.
Conclusion:
Cerebral infarctions in patients with tuberculous meningitis are events that cannot be underestimated in terms of frequency or severity. Their poor prognosis is partly the result of insufficiently defined management, which combines anti-tuberculosis treatment and early corticosteroid therapy.
Insights
Tuberculous meningitis can cause dangerous cerebral infarcts. Early treatment with anti-tuberculosis drugs and corticosteroids can improve patient outcomes in these severe cases.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Tuberculous meningitis is a rare but severe form of tuberculosis.
- Cerebral infarction is a serious complication that worsens prognosis.
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