Nonaneurysmal subarachnoid hemorrhage secondary to tuberculous meningitis: report of two cases

Neurological and systemic complications of tuberculous meningitis and its treatment at Auckland City Hospital, New Zealand

“…[23][24][25] Rupture of a mycotic aneurysm may be a late complication. Intracerebral haemorrhage occurred in two of our patients.…”

Haemorrhage in intracranial tuberculosis

“…[8][9][10][11][12][13][14][15][16] In terms of the latter it has been proposed (but to date not pathologically proven as far as we are aware) that the granuloma produces disintegration of a vessel wall with resultant haemorrhage. 13 Tuberculoma in association with an A-V fistula causing haemorrhage has also been described.…”

“…5,6 Intracranial haemorrhage as a complication of TBM has been described, albeit rarely. [8][9][10][11][12][13][14][15][16] There are a few case reports of patients with TBM complicated by intraventricular, intracerebral and subarachnoid haemorrhage on an aneurysmal or non-aneurysmal basis. [8][9][10][11][12][13][14][15][16] We describe here a patient with TBM and an associated left cerebellar tuberculoma who suddenly deteriorated and died on treatment.…”

“…[8][9][10][11][12][13][14][15][16] There are a few case reports of patients with TBM complicated by intraventricular, intracerebral and subarachnoid haemorrhage on an aneurysmal or non-aneurysmal basis. [8][9][10][11][12][13][14][15][16] We describe here a patient with TBM and an associated left cerebellar tuberculoma who suddenly deteriorated and died on treatment. A large haemorrhage involving the right cerebellum, with subarachnoid extension was demonstrated on computed tomography (CT) scan of the brain and at postmortem.…”

Meningococcus Meningitis Revealed by a Subarachnoid Hemorrhage

“…The soluble antigen C and the Gram stain confirmed the diagnosis. Cerebrovascular accidents are determinants of unfavorable outcomes in bacterial meningitis, and they manifest clinically as focal neurological deficits or as a decrease in consciousness (2,3). In a prospective study of 86 adults with bacterial meningitis, it was reported that 13 patients developed cerebrovascular complications (4 , To the Editor:…”