Acta clinica Croatica, Vol. 43 No. 2, 2004.
Ostalo
Transcranial Doppler in Tuberculous Meningitis: A Case Study
Evguenia Vassileva
Marko Klissurski
Marin Daskalov
Sažetak
Tuberculous meningitis has a highly variable presentation. Difficulties in establishing the diagnosis of tuberculous meningitis have been well recognized. Unusual manifestations of tuberculous meningitis are nowadays quite frequently seen, with an increasing incidence of the disease in the general neurology practice. A 44-year-old woman presented with progressive loss of vision on the left eye in the past two days and two episodes of seizures (partial and secondary generalized). One week before that, she had transient diplopia, blurred right vision, and gait unsteadiness. There was no past history of systemic tuberculosis. Transcranial Doppler findings first suggested that it was a basal pathologic process with vascular involvement, which was not clear from clinical history and examination, computed tomography or angiography findings. Our opinion is therefore that every case of specific meningitis, infectious retrobulbar neuritis and opticochiasmatic arachnoiditis should be additionally examined with transcranial Doppler. Thus, more reliable information concerning complications due to specific arteritis could be obtained.
Ključne riječi
Central nervous system diseases - ultrasonography; Bacterial infections - ultrasonography; Tuberculosis, meningeal - ultrasonography; Blood flow velocity; Case report
Hrčak ID:
14456
URI
Datum izdavanja:
1.6.2004.
Posjeta: 1.494 *