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Case Reports
. 2013 Aug 5:2013:bcr2013009892.
doi: 10.1136/bcr-2013-009892.

A rare presentation of cerebral venous sinus thrombosis associated with tubercular meningitis

Rajesh Verma  1 , Rakesh Lalla, Tushar B Patil, Navin Tiwari
Affiliations
Case Reports

A rare presentation of cerebral venous sinus thrombosis associated with tubercular meningitis

Rajesh Verma et al. BMJ Case Rep. .

Abstract

Central nervous system (CNS) tuberculosis may manifest as meningitis, meningoencephalitis, tuberculoma, tubercular abscess, stroke due to tuberculous vasculitis and tuberculous encephalopathy. Occasionally, tubercular meningitis (TBM) can predispose to cerebral venous sinus thrombosis (CVST). We report a young man, who developed CVST as a complication of TBM. Worsening of pre-existing headache, impairment of consciousness and seizures should raise suspicion of CVST in any patient with CNS infection. Early diagnosis and appropriate clinical management are important for good outcome.

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Figures

Figure 1
Figure 1
Axial and sagital T1-weighted MRI brain with contrast images showing hydrocephalus with leptomeningeal enhancement.
Figure 2
Figure 2
MR venography showing superior and inferior sagittal sinus thrombosis with increased collaterals.
Figure 3
Figure 3
MR venography showing resolution of superior and inferior sagittal sinus.
See this image and copyright information in PMC

References

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