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Tuberculous meningitis with blindness and perichiasmal involvement on MRI
I E Silverman1, G T Liu, L T Bilaniuk
1Department of Neurology and Ophthalmology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Pediatric Neurology
|January 1, 1995
Abstract:
An 11-year-old boy with tuberculous meningitis developed blindness, a rare complication of this disease in the United States. Magnetic resonance imaging demonstrated perichiasmal enhancement, suggesting that arachnoiditis caused the visual loss. Serial neuroimaging over 7 months revealed a persistent inflammatory process in the chiasmatic cistern, hydrocephalus, and progressive cerebral infarctions.