Meningitis retention syndrome: An unusual complication of viral meningitis

Shah, Irfan; Asimi, Ravouf; Kawoos, Yuman; Wani, Mushtaq Ahmad; Wani, Mohammed Afzal; Nawaz, Sheikh; Rasool, AidaHanum Ghulam; Raina, Adnan

doi:10.4103/0028-3886.193811

Cited by 5 publications

(2 citation statements)

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“…The unpredictable response to drugs may be frustrating at times and the duration of therapy may be prolonged but most patients show good response to treatment. 7…”

Section: Resultsmentioning

confidence: 99%

“…6 Analysis of the CSF fluid in patients with tuberculomas may show lymphocytic pleocytosis, raised protein and hypoglycorrachia. 7 On CT scans, tuberculomas appear as low or high density round or lobulated masses with irregular walls showing homogenous enhancement after contrast administration. They may be solitary or multiple and have a predilection to occur in the frontal and parietal lobes.…”

Section: Case Reportmentioning

confidence: 99%

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Seizures in a child with tuberculomas: case report

Bhatti¹,

Singh

2020

Int J Contemp Pediatr

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Central tuberculomas, occurring because of the haematogenous spread of M. tuberculosis, can present variably with the symptoms ranging from headache, decreased level of consciousness, neck stiffness to altered mental status, seizures and focal deficits. Diagnostic investigations include but are not limited to CSF analysis, MRI Brain, CT head, and AFB smear, mycobacterial cultures or CBNAAT of the CSF sample. Magnetic resonance spectroscopy can help distinguishing the tuberculoma from its differentials by showing a peculiar lipid peak. Treatment with the antituberculosis drugs over a prolonged period of time along with dexamethasone usually shows significant clinical improvement. Authors present to you the case report of an 8 year old boy who presented to the pediatric emergency with generalized tonic clonic seizures and was subsequently detected with the tuberculoma with the help of MRI Brain and CBNAAT (cartridge based nucleic acid amplification test) of CSF sample. The objective of this case report is to discuss the symptoms, pathogenesis, detection and management of tuberculomas, which are still quite common in the developing countries and if left untreated are associated with high morbidity and mortality.

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“…The unpredictable response to drugs may be frustrating at times and the duration of therapy may be prolonged but most patients show good response to treatment. 7…”

Section: Resultsmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%