الفهرس | Only 14 pages are availabe for public view |
Abstract Tuberculous meningitis has high morbidity and mortality . Its prognosis is closely related to the clinical stage at which appropriate chemotherapy is started . So, delay in diagnosis is in tum related to poor outcome. It displays some clinical , radiological and cerebrospinal fluid characteristics . Twinty five clinically suspected tuberculous meningitis patients were studied and we have found that; Clinically , our patients were mostly of young age presenting with mild fever, headache and meningismus for 1-3 weeks, usually associated with basal cranial nerve involvement ( especially 6th, 3 rd and 7 th nerves respectively ) , paresis or paralysis and epilepsy. The patients might be immunocompromised with or without past history of tuberculosis or close contact with TB patient. Brain CT pre and post contrast was suggestive of tuberculosis in 40% of cases. It was capable of detection of certain complications like hydrocephalus and cerebral infarcts . CSF were consistent with tuberculosis in 40% of cases . 40% of our patients improved on antituberculous therapy with or without minor ,sequelae, who were mainl~ met with in clinical stage I and II disease |