From Tuberculous Meningitis to Localised CNS Tuberculomas-No Boundary to Multifaceted Involvement by Mycobacterium Tuberculosis

Abstract Archives of the RSNA, 2014

NRE174

From Tuberculous Meningitis to Localised CNS Tuberculomas-No Boundary to Multifaceted Involvement by Mycobacterium Tuberculosis

Education Exhibits

Presented in 2014

Participants

Shumaila Arooj MBBS, Presenter: Nothing to Disclose

Fatima Mubarak MBBS, Abstract Co-Author: Nothing to Disclose

Shayan S.M. Anwar MBBS, Abstract Co-Author: Nothing to Disclose

TEACHING POINTS

Caseating granulomas have hypointense T2W solid centre and hypointense T2W rim with ring enhancement on post contrast images. Basilar meningitis most often seen.At times there is enhancement of leptomeninges along superficial sulci. Contrast T1WI show pachymeningitis with dural thickening and enhancement and ventriculitis,vasculitis, choroid plexiitis. DWI may show complications including infarct or cerebritis/abscess. Others can be hydrocephalus.

TABLE OF CONTENTS/OUTLINE

Multiple ring enhancing lesions-tuberculomas vs metastasis FLAIR hyperintense signals with Leptomeningeal enhancement-Subarachnoid hemhorrage vs meningitis Basilar Meningeal enhancement in a patient with nonspecific fever-Tuberculosis vs Neurosarcoidosis dural based ring enhancing lesions in an immunocompromised patient-tuberculous involvement vs dural based metastasis Pachymeningitis with dilated ventricular system-complicated tubeculous meningitis vs post hemorrhagic hydrocephalus

PDF UPLOAD

http://abstract.rsna.org/uploads/2014/14006026/14006026_vtn9.pdf

Cite This Abstract

Arooj, S, Mubarak, F, Anwar, S, From Tuberculous Meningitis to Localised CNS Tuberculomas-No Boundary to Multifaceted Involvement by Mycobacterium Tuberculosis. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14006026.html