Department of Pediatrics, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Department of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Indian J Pediatr. 2019 Apr;86(4):371-378. doi: 10.1007/s12098-018-2830-x. Epub 2019 Jan 9.
Stroke is common in tuberculous meningitis. Stroke commonly affects the tubercular zone, comprising the anterior part of the thalamus, caudate and the internal capsule (anterior limb and genu). Stroke, in tuberculous meningitis is predominantly arterial ischemic stroke, and is due to infiltrative, proliferative or necrotizing arteritis. Rarely, aneurysm formation and mycotic aneurysms have also been described. The authors describe the clinical and autopsy findings of a 27-mo-old boy with tuberculous meningitis whose course was complicated by arterial and venous strokes, and nonresponse to adequate and appropriate antitubercular therapy.
中风在结核性脑膜炎中很常见。中风通常影响结核区域，包括丘脑前部、尾状核和内囊（前肢和膝部）。结核性脑膜炎中的中风主要是动脉缺血性中风，是由于浸润性、增生性或坏死性动脉炎引起的。很少有报道称动脉瘤形成和真菌性动脉瘤。作者描述了一例 27 个月大的男孩的临床和尸检发现，该男孩患有结核性脑膜炎，其病程并发动脉和静脉性中风，并且对充分和适当的抗结核治疗无反应。
