L - 13 Méningovascularite tuberculeuse : à propos de quatre cas

Hsaini, Y.; Mounach, J.; Satte, Amal; Zerhouni, A.; Mosseddaq, R.

doi:10.1016/s0035-3787(07)90880-2

Cited by 2 publications

(5 citation statements)

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“…The target age group remains the population of young subjects in full activity. Hsaini al reported four cases of tuberculous meningovascularitis with three men for one woman, all aged between 14 and 53 years old as in our observation [4]. Tuberculous meningovascularitis remains pathology of the young subject.…”

Section: Comments Epidemiologysupporting

confidence: 65%

“…The disappearance of sudden neurological manifestations should lead to the search for a vascular cause. The sudden onset of a worsening of pre-existing symptoms in a patient taking antibacterial drugs requires the search for cerebral infarction, especially since the clinical picture responds to vascular systematization with the sudden onset of a focal neurological sign [4]. The evolution depends on the speed of diagnosis and the urgent initiation of speci c treatment as in our case report.…”

Section: Evolution -Prognosismentioning

confidence: 74%

“…It remains a less common association in in immunocompetent subjects [8,15]. Vascular complications are possible during tuberculous meningitis, even when treated early and quickly [4,11]. It is responsible for severe, serious and disabling after-effects, hence the therapeutic urgency of appropriate treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical presentation remains one of the rare modes of onset of tuberculous meningovascularitis beginning with meningitis with damage to the cranial nerves and complicated by cerebral infarction of the deep territory (MCA, ICA, intracranial ICA and sometimes vertebrobasilar territory). It is therefore an exceptional form of meningovasculitis which can occur in a patient who has no risk factors independent of stroke but rather linked to tuberculous meningitis (TBMRIS) [4].…”

Section: Comments Epidemiologymentioning

confidence: 99%

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Tuberculous Meningitis Complicated With Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient With HIV-AIDS

Tanoh,

Aka,

Tanoh

et al. 2023

Preprint

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INTRODUCTION Neuromeningeal tuberculosis is the most common form of extra-pulmonary tuberculosis in developing countries. It is the most serious form of Mycobacterium tuberculosis infection. Vascular complications of tuberculous meningitis involve functional prognosis of patients.OBSERVATION In our daily practice, we frequently encounter cases of cerebral infarction associated with neuromeningeal tuberculosis in the infectious etiological balance. We report the case of an HIV immunocompetent patient hospitalized for neuromeningeal tuberculosis complicated with ischemic stroke. It was a 39-year-old patient, right-handed, admitted to the Neurology department of University Hospital of Cocody in whom the diagnosis of neuromeningeal tuberculosis was retained. She received treatment for tuberculosis in emergency. On the seventh day of hospitalization, she suddenly presented with a massive motor deficit of the left hemibody. The MRI performed was compatible with meningoencephalitis associated with recent deep right Sylvan ischemia foci. The evolution was marked by partial recovery of the left hemiplegia, right retro-bulbar neuritis, and iatrogenic hepatic cytolysis.COMMENTS Tuberculous meningitis remains today one of the most serious neurological conditions involving the vital and functional prognosis of patients. Association of cerebral infarction and tuberculous meningitis is of variable occurrence. There are reported cases in which cerebral infarction is a complication of tuberculous meningitis. On the other hand, the discovery of tuberculous meningitis can be observed in the assessment of a cerebral infarction in young subjects. Tuberculous meningovascularitis remains a rare condition in immunocompetent patients for HIV-AIDS. It results from arterial occlusion by thrombosing and obliterating endarteritis. It represents a medical emergency requiring starting anti-tuberculosis treatment. The evolution depends on the precocity of the diagnosis and the speed of treatment.CONCLUSION The sudden appearance of a neurological deficit in à patient with tuberculous meningitis even under specific treatment should suggest an ischemic stroke, especially if the symptomatology respects an anatomo-functional vascular systematization.

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Section: Comments Epidemiologysupporting

confidence: 65%

Section: Evolution -Prognosismentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Comments Epidemiologymentioning

confidence: 99%

See 2 more Smart Citations

Tuberculous Meningitis Complicated With Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient With HIV-AIDS

Tanoh,

Aka,

Tanoh

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…It is important to know this affection because it can raise questions about the diagnosis and the effectiveness of anti-tuberculous treatment. It is a condition resulting from obliterating arteritis involving the functional prognosis of patients with tuberculous meningitis [4]. Through this observation, the authors highlight the rarity of tuberculous meningovascularitis in HIVimmunocompetent patients and the clinical particularity of the onset mode of this serious and disabling condition.…”

Section: Introductionmentioning

confidence: 91%

Tuberculous Meningitis Complicated Without Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient with HIV-AIDS

Tanoh,

Aka,

Yapo-Ehounoud

et al. 2024

AJPN

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Introduction: Neuromeningeal tuberculosis is the most common form of extra-pulmonary tuberculosis in developing countries. It is the most serious form of Mycobacterium tuberculosis infection. Vascular complications of tuberculous meningitis involve functional prognosis of patients. Observation: In our daily practice, we frequently encounter cases of cerebral infarction associated with neuromeningeal tuberculosis in the infectious etiological balance. We report the case of an HIV immunocompetent patient hospitalized for neuromeningeal tuberculosis complicated with ischemic stroke. It was a 39-year-old patient, right-handed, admitted to the Neurology department of University Hospital of Cocody in whom the diagnosis of neuromeningeal tuberculosis was retained. She received treatment for tuberculosis in emergency. On the seventh day of hospitalization, she suddenly presented with a massive motor deficit of the left hemibody. The MRI performed was compatible with meningoencephalitis associated with recent deep right Sylvan ischemia foci. The evolution was marked by partial recovery of the left hemiplegia, right retro-bulbar neuritis, and iatrogenic hepatic cytolysis. Comments: Tuberculous meningitis remains today one of the most serious neurological conditions involving the vital and functional prognosis of patients. Association of cerebral infarction and tuberculous meningitis is of variable occurrence. There are reported cases in which cerebral infarction is a complication of tuberculous meningitis. On the other hand, the discovery of tuberculous meningitis can be observed in the assessment of a cerebral infarction in young subjects. Tuberculous meningovascularitis remains a rare condition in immunocompetent patients for HIVAIDS. It results from arterial occlusion by thrombosing and obliterating endarteritis. It represents a medical emergency requiring starting anti-tuberculosis treatment. The evolution depends on the precocity of the diagnosis and the speed of treatment. Conclusion: The sudden appearance of a neurological deficit in à patient with tuberculous meningitis even under specific treatment should suggest an ischemic stroke, especially if the symptomatology respects an anatomo-functional vascular systematization.

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L - 13 Méningovascularite tuberculeuse : à propos de quatre cas

Cited by 2 publications

References 0 publications

Tuberculous Meningitis Complicated With Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient With HIV-AIDS

Tuberculous Meningitis Complicated With Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient With HIV-AIDS

Tuberculous Meningitis Complicated Without Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient with HIV-AIDS

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