Ruptured intracranial tuberculous aneurysm, a rare complication of central nervous system tuberculosis- A report and review of literature

Mani, Selvin Sundar Raj; Mathansingh, Asisha Janeela; Kaur, Himpreet; Iyyadurai, Ramya

doi:10.4103/neuroindia.ni_1280_16

Cited by 5 publications

(4 citation statements)

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“…[ 27 , 28 ] Therefore, the increase in inflammatory indexes caused by oxidative stress is closely related to the prognosis of patients with craniocerebral surgery. [ 29 ] The comparison of the CSF inflammatory indexes of the 2 groups of patients showed that the CSF indexes PCT, CRP, LA, LDH of the patients in the intracranial infection group were higher than those of the non-intracranial infection, and CSF indicators are positively correlated with intracranial infection. [ 30 ] After the craniotomy, the patient's brain tissue is in a high-incidence period of stress, indicating that the central nervous system is affected.…”

Section: Discussionmentioning

confidence: 99%

“…Craniocerebral surgery can cause oxidative stress in the brain and even the whole body, and oxidative stress can cause inflammatory reactions and abnormal immune levels [27,28] . Therefore, the increase in inflammatory indexes caused by oxidative stress is closely related to the prognosis of patients with craniocerebral surgery [29] . The comparison of the CSF inflammatory indexes of the 2 groups of patients showed that the CSF indexes PCT, CRP, LA, LDH of the patients in the intracranial infection group were higher than those of the non-intracranial infection, and CSF indicators are positively correlated with intracranial infection [30] .…”

Section: Discussionmentioning

confidence: 99%

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Risk factors of intracranial infection in patients after intracranial aneurysm surgery

Guo¹,

Fang²,

Wu³

2021

Medicine

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Postoperative intracranial infection after intracranial aneurysm is relatively common in clinical setting; it is necessary to analyze the clinical risk factors of postoperative intracranial infection, to provide reliable evidence to the management of aneurysm. Patients with intracranial aneurysm admitted from January 1, 2016, to November 30, 2020, are included. We collected the patient's personal and treatment data, and analyzed the risk factors of intracranial infection by multivariate logistic regression analysis. We compared the cerebrospinal fluid (CSF) indicators and serological indicators and analyzed their correlation with intracranial infection by spearman analysis. A total of 236 patients with intracranial aneurysm were included; the incidence of postoperative intracranial infection was 12.71%. There were significant differences in the diabetes, intraoperative aneurysm rupture, intraoperative CSF leakage, duration of surgery, and estimated blood loss between infection and non-infection group. Logistic regression indicated that diabetes [odds ratio (OR) 2.053, 95% confidence interval (95% CI) 1.092∼3.385], intraoperative aneurysm rupture (OR 2.239, 95% CI 1.173∼4.312), intraoperative CSF leakage (OR 2.168, 95% CI 1.033∼3.451), duration of surgery ≥360 minutes (OR 1.926, 95% CI 1.108∼2.655), and estimated blood loss ≥125 mL (OR 2.459, 95% CI 1.854∼3.447) were the independent risk factors of postoperative intracranial infection in patients with aneurysm surgery (all P < .05). Klebsiella pneumoniae , Escherichia coli , and Staphylococcus epidermidis were the top 3 commonly seen pathogens. Spearman analyses indicated that PCT, CRP, LA, LDH were all correlated with intracranial infection (all P < .05). There are multiple factors for the postoperative intracranial infection in patients with aneurysm. Coping strategies should be formulated targeted on those risks to improve the prognosis of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors of intracranial infection in patients after intracranial aneurysm surgery

Guo¹,

Fang²,

Wu³

2021

Medicine

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“…Diagnosis in these cases is established by MRI/MRA of the brain, CT angiography, or cerebral catheter angiography. 49 Most infarctions in TBM (Figure 4) are multiple, bilateral 5 and the thalami, basal ganglia, and internal capsule are the most involved territories due to the occlusion of the small perforating vessels, particularly the lenticulostriate and thalamo-perforating arteries. This is believed secondary to the predominant basal meningitis encasing and affecting the center of the circle of Willis.…”

Section: Ademmentioning

confidence: 99%

“…This finding increases the risk for parenchymal hemorrhage, 48 although the rupture of an aneurysm secondary to TB is a rare complication with only a few case reports published. Diagnosis in these cases is established by MRI/MRA of the brain, CT angiography, or cerebral catheter angiography 49 …”

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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Epidemiology of Extrapulmonary Tuberculosis

Kulchavenya

Naber

Johansen

2019

Extrapulmonary Tuberculosis

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Ruptured intracranial tuberculous aneurysm, a rare complication of central nervous system tuberculosis- A report and review of literature

Cited by 5 publications

References 0 publications

Risk factors of intracranial infection in patients after intracranial aneurysm surgery

Risk factors of intracranial infection in patients after intracranial aneurysm surgery

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

Epidemiology of Extrapulmonary Tuberculosis

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