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seenu · Credits: 3762 My Scrapbook

Q.152. commenest complication of TB meningitis is
a) tubeculoma b) brian abscess c) hemorrhage d) cerebral infarction

Akil · Credits: 28144 My Scrapbook

d)Harrisons 15ed....

the disease evolves over 1 or 2 weeks, a course longer than that of bacterial meningitis. Paresis of cranial nerves (ocular nerves in particular) is a frequent finding, and the involvement of cerebral arteries may produce focal ischemia.

Tuberculoma, an uncommon manifestation of tuberculosis, presents as one or more space-occupying lesions and usually causes seizures and focal signs. CT or MRI reveals contrast-enhanced ring lesions, but biopsy is necessary to establish the diagnosis.

DIAGNOSIS:
Lumbar puncture is the cornerstone of diagnosis. In general, examination of the cerebrospinal fluid (CSF) reveals a high leukocyte count (usually with a predominance of lymphocytes but often with a predominance of neutrophils in the early stage), a protein content of 1 to 8 g/L (100 to 800 mg/dL), and a low glucose concentration;

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