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Revista Mexicana de Neurociencia

Academia Mexicana de Neurología, A.C.
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2009, Number 3

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Rev Mex Neuroci 2009; 10 (3)

Atypical tuberculous meningoencephalitis associated with unusually prominent perivascular spaces. Case report

Gutiérrez LC, Plascencia ÁNI, Quiñones AS, González OI, Villasana AG, Arriaga RJJ, Hernández CBC, Avilés AT, Uribe JP, Hinojosa MC, Vargas VJ, Avendaño VR, Venegas TA, Núñez OL
Full text How to cite this article

Language: Spanish
References: 5
Page: 232-235
PDF size: 116.31 Kb.


Key words:

chronic meningoencephalitis, perivascular spaces.

ABSTRACT

A case of a woman 52 years old with a clinical picture of slowly progressive chronic meningoencephalitis with a tendency to decline until the stupor, began with an unusual clinical presentation of cerebral tuberculosis, which led to the diagnosis two and a half months after receiving multiple treatments of which were unsuccessful; resonance imaging of brain were unusual presentation, there was great variability in reports of cytochemical CSF, the polymerase chain reaction indicated positive tuberculosis, posterior at the beginning of antifimic treatment presented clinical improvement and no change in MRI after a year and a half of antifimic treatment. We present the following case to present a picture of tuberculous meningoencephalitis associated with unusual prominent perivascular spaces.


REFERENCES

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  2. Muralldhar K. Pathogenesis, diagnosis, treatment and outcome aspects of cerebral tuberculosis. Med Sci Monit 2003; 10(9): 215-29.

  3. Jasmer RM, Nahid P, Hopewell PC. Clinical practice. Latent tuberculosis infection. N Engl J Med 2002; 347(23): 1860-6.

  4. Wang JT, Hung CC, Sheng WH, Wang JY, Chang SC, Luh KT. Prognosis of tuberculous meningitis in adults in the era of modern antituberculous chemotheraphy. J Microbiol Immunol Infect 2002; 35: 215-22.

  5. Osborn AG. Neuroradiología diagnóstica. 1ra Ed. Barcelona: Mosby/ Doyma; 1996.




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Rev Mex Neuroci. 2009;10