The Angiographic Triad in Tuberculous Meningitis

Lehrer, Harold Z.

doi:10.1148/87.5.829

Cited by 81 publications

(11 citation statements)

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“…2 ha not been operatively confirmed, but the diagno i has been cured by the finding of tuberculous bacilli in the CSF, and by the rapid clinical improvement after antituberculou therapy corresponding to the evident regression in the radiologie finding. ngiography howed the eg'mental ron triction of th upraclinoid part of the carotid siphon and the va cular occlu ion, which are typical of tuberculous vasculiti (Greitz 1964, Lehrer 1966, Hila I 1974.…”

Section: Discussionmentioning

confidence: 99%

Cerebral Abscess in Children

Nielsen

1983

Neuropediatrics

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During the period 1935 to 1976 200 patients with cerebral abscess were referred to the University Clinic of Neurosurgery, Rigshospitalet, Copenhagen. Among them 48 were children (less than 15 years), i.e. 24%. Fourteen of the children had multiple abscesses. Ear-, nose- or throat infections were the source of infection in 42% of the cases. Seven of the children had congenital heart disease. The clinical manifestations are described. The risk of lumbar puncture in these patients is emphasized by the fact, that three of them incarcerated during the procedure. Changing neuroradiological methods, affording limited differential diagnostic accuracy, have now been replaced by computed tomography. The most common surgical methods were primary excision or aspiration. The overall mortality rate was 33%.

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Section: Discussionmentioning

confidence: 99%

Cerebral Abscess in Children

Nielsen

1983

Neuropediatrics

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“…The characteristic angiographic triad of TBM includes 1) narrowing of supraclinoid portion of internal carotid artery, 2) a widely sweeping pericallosal artery or outward bowing of thalamostriate vein, and 3) delayed circulation in middle cerebral artery with scantly collaterals and early draining veins. Such a triad would suggest a dilated ventricular system and constriction of carotid and middle cerebral vessels by tuberculous arteritis [63]. Moyamoya pattern of angiographic changes in TBM has been reported.…”

Section: Cerebral Angiographymentioning

confidence: 96%

Stroke in tuberculous meningitis

Misra

Maurya

2011

Journal of the Neurological Sciences

159

152

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“…After treatment the CT and the patient returned to normal. On the other hand, the patients with narrowed vessels and enhancing exudates failed to improve, the narrowed arteries being considered as arteritis (Greitz 1964;Lehrer 1966).…”

Section: Tuberculoma/tuberculous Abscessmentioning

confidence: 99%

Tuberculous meningitis—a CT study

Bhargava¹,

Gupta²,

Tandon³

1982

BJR

149

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This study comprises 60 cases of tuberculous meningitis including both adults and children. Only three cases showed a normal scan. Severe hydrocephalus was present in 87.09% children and only 12.09% adults. The incidence of hydrocephalus increased with the duration of the illness and decreased with age. Exudates in the basal cisterns were graded from mild to severe, the latter being seen only in children. Visible infarcts were shown in 28.33% of cases, 10% showed associated parenchymal tuberculomas. Serial follow-up scans indicate that patients with non-enhancing exudates have a good prognosis when medically treated, whereas in those cases with enhancing exudates the prognosis is poor in spite of medical treatment and surgical shunting; they either succumb to their illness or are left with irreversible sequelae. CT has proved sensitive in both the diagnosis and prognosis in clinically suspected tuberculous meningitis.

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The Angiographic Triad in Tuberculous Meningitis

Cited by 81 publications

References 0 publications

Cerebral Abscess in Children

Cerebral Abscess in Children

Stroke in tuberculous meningitis

Tuberculous meningitis—a CT study

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