MRI Features of Stroke in Tuberculous Meningitis: a case report

Motivation: TBM is the most severe form of tuberculosis and often leads to death or neurological sequelae. Inflammation caused by a dysregulated inflammatory response can cause stroke, a frequent cause of morbidity and mortality in TBM. Goal(s): To accurately identify areas affected by stroke in TBM. Approach: MRI brain scan was performed on 1.5 Tesla, Skyra scanner equipped with an 20 channel coil and parameters were derived from the following acquisitions: 3D T1-MPRAGE pre- and post-gadolinium enhancement imaging; DWI and ADC map, FLAIR, and GRE. Results: MRI is reliable in identifying stroke features and the imaging findings were pivotal to prompt treatment of TBM. Impact: 14-year-old with a left CNVI palsy and lower limb weakness, was admitted due to onset of seizure. Tuberculous meningitis complicated by stroke was diagnosed as the cause. The incidence, consequences and MRI features of TBM are discussed in this report.