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Turkish Journal of Medical Sciences

DOI

10.3906/sag-1010-1263

Abstract

To evaluate the radiological findings of 160 adult patients with tuberculous meningitis (TBM). Materials and methods: Using a standard data collection form, 160 patients with TBM who had been followed for 11 years were assessed retrospectively. Cranial imaging results were obtained by computed tomography (CT) and magnetic resonance imaging (MRI), and pulmonary findings were obtained by chest X-ray and CT. Tuberculomas were assessed with a nominal tuberculoma classification index (TCI) scale. Results: Of the 160 patients, 80 were males and the mean age was 32.18 ± 13.62 years (range: 14-78). On admission, 84% were in stages II or III; 27 of them died (17%) and 20 had neurological sequelae (13%). Active pulmonary tuberculosis (TB) presence was significantly higher in the deceased patients than in the survivors (P = 0.019). Tuberculoma (37%), basal meningitis (27%), and hydrocephalus (21%) were the most frequent signs found in the cranial CT or MRI scans, and tuberculomas were mostly multiple and

Keywords

Tuberculous meningitis, tuberculosis, MRI, pulmonary tuberculosis, M. tuberculosis, tuberculoma, hydrocephalus

First Page

259

Last Page

267

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