Fig 1.
Common baseline MRI findings in adults with tuberculous meningitis.
Meningeal enhancement at basal meninges (A), right Sylvian fissure (B), and ventricular (C); non-miliary and miliary tuberculomas (D); pseudo abscess in axial DWI (E1), axial ADC (E2), axial T2 FLAIR (E3) and axial T1W1 post contras (E4); multiple acute infarctions at the left basal ganglia in axial DWI (F1), axial ADC (F2), and axial T2 FLAIR (F3); Communicating hydrocephalus with narrowed Callosal angle (G), void signal in the aqueduct (H), and dilated temporal horn (I), broader of Evans’ ratio (J); and oculomotor nerve enhancement (K).
Table 1.
Neuroradiological abnormalities at baseline.
Table 2.
Relation between disease characteristics and neuroimaging abnormalities.
Fig 2.
Paradoxical response with basal meningeal enhancement after 60 days treatment.
Basal meningeal exudate before (A) and after two months after anti-tuberculosis drugs (B). Both from T1-W1 post contras from one patient with radiological worsening at day 60 days after anti-tuberculosis treatment.
Table 3.
Neuroimaging changes after two months of treatment in 37 patients.
Table 4.
Outcome of paradoxical response.