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Malignant middle-cerebral artery territory infarction in tuberculous vasculitis

发表时间：2015-11-15 浏览次数：2443次

引用：

Meenakshi-Sundaram S, Srinivasan S, Karthik SN, Pandi S, Periyakaruppan A, Sunda

关键词：

作者：

Salvadeeswaran Meenakshi-Sundaram1, Sundararajan S

作者单位：

1 Department of Neurosciences, Apollo Speciality H

出版年份：

2014

期刊页数：

95-97

收录者：

其他外文数据库

摘要：

Intracranial large vessel involvement is an unusual complication of tuberculous meningitis. The authors report a 39-year-old female presenting with an episode of seizure, followed by rapid decline in sensorium without prominent systemic features. An initial cranial magnetic resonance imaging revealed tuberculomata and patchy infarcts. Despite antituberculous therapy, she progressively worsened. A cranial computed tomography scan done following the worsening revealed a massive middle-cerebral artery (MCA) infarct. Unfortunately, the patient died in spite of decompressive craniotomy. Malignant MCA territory infarct is a rare and potentially fatal complication of tuberculous meningitis.

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