Diffuse Hypertrophic Pachymeningeal Tuberculosis

Chotmongkol, Verajit; Khamsai, Sittichai

doi:10.4046/trd.2020.0055

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Meningioma is often associated with hyperostosis of the adjacent calvarial or skull base bone, 67 whereas neurosracoidosis or lymphoma often requires extensive systemic work up including possible tissue sampling. If the lesion responds well to anti‐TB treatment, TB pachymeningitis is, however, most likely 68 …”

Section: Specific Issues When Diagnosing Cns Tb and The Role Of Mrimentioning

confidence: 99%

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Mertiri,

Freiling,

Desai

et al. 2023

Journal of Neuroimaging

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Neurotuberculosis is defined as a tuberculous infection of the meninges, brain parenchyma, vessels, cranial and spinal nerves, spinal cord, skull, and spine that can occur either in a localized or in a diffuse form.It is a heterogeneous disease characterized by many imaging appearances and it has been defined as “the great mimicker” due to similarities with many other conditions.The diagnosis of central nervous system (CNS) tuberculosis (TB) is based on clinical presentation, neuroimaging findings, laboratory and microbiological findings, and comprehensive evaluation of the response to anti‐TB drug treatment.However, the absence of specific symptoms, the wide spectrum of neurological manifestations, the myriad of imaging findings, possible inconclusive laboratory results, and the paradoxical reaction to treatment make the diagnosis often challenging and difficult, potentially delaying adequate treatment with possible devastating short‐term and long‐term neurologic sequelae.Familiarity with the imaging characteristics helps in accurate diagnosis and may prevent or limit significantly morbidity and mortality. The goal of this review is to provide a comprehensive up‐to‐date overview of the conventional and advanced imaging features of CNS TB for radiologists, neuroradiologists, and pediatric radiologists. We discuss the most typical neurotuberculosis imaging findings and their differential diagnosis in children and adults with the goal to provide a global overview of this entity.

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Section: Specific Issues When Diagnosing Cns Tb and The Role Of Mrimentioning

confidence: 99%

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Mertiri,

Freiling,

Desai

et al. 2023

Journal of Neuroimaging

View full text Add to dashboard Cite

show abstract

A case of idiopathic hypertrophic pachymeningitis with high adenosine deaminase in cerebrospinal fluid

Kitagawa

Komatsu

Omoto

et al. 2021

Clinical Neurology and Neurosurgery

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Imaging in Neurotuberculosis

Agarwal,

Charan,

Shah

et al. 2024

Indographics

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Central nervous system tuberculosis can occur in various forms and carries high morbidity despite anti-tubercular treatment. Accurate and early diagnosis based on imaging can help improve prognosis and prevent complications. Confirmation of tubercular bacteria in CSF culture methods, and molecular analysis poses challenges due to invasive and time-consuming procedures. Advanced neuroimaging techniques are greatly helpful in making presumptive diagnoses. Here we described imaging features of multiple forms of CNS tuberculosis with advanced neuroimaging. This paper will help neuroradiologists to identify CNS TB and related imaging features.

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Diffuse Hypertrophic Pachymeningeal Tuberculosis

Cited by 3 publications

References 3 publications

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

Pediatric and adult meningeal, parenchymal, and spinal tuberculosis: A neuroimaging review

A case of idiopathic hypertrophic pachymeningitis with high adenosine deaminase in cerebrospinal fluid

Imaging in Neurotuberculosis

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