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Case No. 523
2019-07-01~2019-07-31
출제자 : 차지훈
Hit : 510
| Period | 2019-07-01~2019-07-31 |
|---|---|
| Diagnosis | TB meningitis with vasculitis |
| Gender |
|
| Age | 77 |
| Clinical information | F/77 C.C> dizziness 진단은? |
| Discussion | TB meningitis with vasculitis Imaging findings - Multifocal stenosis of large to medium sized intracranial arteries - Focal infarction in BG - Irregular vessel wall thickening with enhancement with associated nodular enhancing lesions (granuloma) - Ring enhancing granuloma in subarachnoid space with central T2 hypointensity (caseous necrosis) Review - Tuberculous cerebral vasculitis: complication of tuberculous meningitis, 41% of autopsy case of TB meningitis, about 1.5-5% of TB 20.5-47.8% with CT, 54-66% with MRI - Pathology Vessel irregularity due to arteritis, BG infarct Most common involvement: lenticulostriate artery, MCA, thalamoperforators |
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