A Combination of Moyamoya Pattern and Cerebral Venous Sinus Thrombosis: A Case of Tubercular Vasculopathy

Kumar, Mohan; Saini, Lokesh; Kaushik, Jaya Shankar; Chakrabarty, Biswaroop; Kumar, Atin; Gulati, Sheffali

doi:10.1093/tropej/fmv036

Cited by 11 publications

(7 citation statements)

References 7 publications

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“…Moyamoya vasculopathy has been described with basal meningitis due to tubercular meningitis and suprasellar tuberculomas. [ 8 9 ] The extensive vascular network in the circle of Willis makes these arteries susceptible to infection and inflammation. Acute moyamoya phenomenon has been described after acute vascular narrowing due to subarachnoid hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Pyogenic meningitis complicated with extensive central nervous system vasculitis and moyamoya vasculopathy

et al. 2018

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Meningitis is an uncommon complications of head trauma. Vasculitis in bacterial meningitis is seen in 9%–25% of adults. Neurological deficits in bacterial meningitis are seen in about one-third of children. Isolated cranial nerve palsies are common, whereas major deficits such as hemiparesis and quadriparesis are rare. We describe a case of a 7-year-old boy who had post-traumatic meningitis complicated with quadriparesis and severe vasculitis of bilateral anterior and posterior circulation with moyamoya vasculopathy.

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Section: Discussionmentioning

confidence: 99%

Pyogenic meningitis complicated with extensive central nervous system vasculitis and moyamoya vasculopathy

et al. 2018

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“…Moyamoya vasculopathy usually occurs as a late complication in a known case of CNS TB. The presence of multi-territorial ischaemic infarcts, ivy sign (FLAIR hyperintensity and contrast enhancement due to prominence of leptomeningeal collateral vessels) and attenuation of supraclinoid ICA with prominent collateral vessels on angiography point to the diagnosis of moyamoya disease [8]. Vasculitis due to CNS TB, in contrast, affects small-and medium-sized vessels (thalamo-perforating and lenticulostriate arteries) causing lacunar infarcts in ganglio-thalamic regions [9].…”

Section: Tuberculosis With Secondary Moyamoya Vasculopathymentioning

confidence: 99%

Unusual patterns of tuberculosis on cross-sectional imaging: a pictorial review

Rana

Krishnan

Aggarwal

2022

Egypt J Radiol Nucl Med

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Background Tuberculosis is routinely encountered on imaging throughout the world. Radiologists are usually familiar with the common patterns of tuberculosis on cross-sectional imaging. However, tuberculosis frequently presents with unfamiliar imaging patterns and/or uncommon anatomic sites which still pose a diagnostic challenge. Discussion Rapid improvements in the management of acquired immunodeficiency syndrome patients leading to increased survival as well as advances in chemotherapy and immunosuppressive medication have complicated the presentation of tuberculosis by increasing the probability of unconventional sites and patterns of involvement in tuberculosis leading to unfamiliar imaging appearances. In this review, we describe these unfamiliar imaging patterns of tuberculosis and provide a diagnostic protocol for arriving at the right diagnosis and differentiating these from other pathologies with similar imaging appearances. These are described through case-based illustrations of unusual patterns and anatomic locations of tuberculosis. Conclusions It is important for radiologists to be aware of such unusual imaging patterns of tuberculosis in order to facilitate early and accurate diagnosis for appropriate patient management in the face of changing patient demographics and pathological profile of tuberculosis in the current era of scientific advancements.

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“…VWM may be useful for the diagnosis of TBM-related vascular complication and monitoring of the treatment. CSVT in children is treated by anticoagulation with heparin (conventional or low molecular weight) or oral warfarin for 3 months 3. Infarcts in TBM are usually considered secondary to arteriopathy; however venous infarcts, though rare, should be kept in the differentials.…”

Section: Descriptionmentioning

confidence: 99%

Multiple cerebral sinus venous thrombosis and venous infarct: rare complication of tuberculous meningitis in a child

et al. 2019

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A Combination of Moyamoya Pattern and Cerebral Venous Sinus Thrombosis: A Case of Tubercular Vasculopathy

Abstract: Early vascular involvement affecting both arterial and venous structures has not hitherto been reported in CNS tuberculosis. Early recognition of secondary complications of CNS tuberculosis is crucial to prevent the morbidity and mortality associated with TBM.

Cited by 11 publications

References 7 publications

Pyogenic meningitis complicated with extensive central nervous system vasculitis and moyamoya vasculopathy

Pyogenic meningitis complicated with extensive central nervous system vasculitis and moyamoya vasculopathy

Unusual patterns of tuberculosis on cross-sectional imaging: a pictorial review

Multiple cerebral sinus venous thrombosis and venous infarct: rare complication of tuberculous meningitis in a child

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