1例双侧丘脑梗死合并结核性脑膜脑炎。

A case of bilateral thalamic infarct complicating tuberculous meningoencephalitis.

作者信息

Aasfara Jehanne, Regragui Wafa, Ouardi Loubna El, Haddou El Hachmia Ait Ben, Benomar Ali, Yahyaoui Mohammed

机构信息

Department of Neurology and Neurogenetics, Hôpital des Spécialités ONO, CHU Rabat-Salé, Morocco.

Faculty of Medicine and Pharmacy, University Mohamed V Souissi, Rabat, Morocco.

出版信息

Pan Afr Med J. 2019 May 6;33:2. doi: 10.11604/pamj.2019.33.2.13327. eCollection 2019.

DOI:10.11604/pamj.2019.33.2.13327

PMID:31303947

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6607461/

Abstract

Ischemic stroke can result from multiple etiologies. It can also be a complication of tuberculous meningoencephalitis and determine its outcome. stroke secondary to tuberculous meningoencephalitis, occurs in 30% cases in the basal ganglia region, unusually in the thalamus. The mechanism of stroke in this condition is vasculitis. We report an unusual case of bilateral thalamic infarcts complicating tuberculous meningoencephalitis. Ischemic stroke in tuberculous meningoencephalitis is unpredictable with poor prognosis despite antituberculous drug treatment, emphasising the importance of primary prevention, particularly in tuberculosis endemic areas.

摘要

缺血性中风可由多种病因引起。它也可能是结核性脑膜脑炎的并发症并决定其预后。结核性脑膜脑炎继发的中风，30%发生在基底节区，罕见于丘脑。这种情况下中风的机制是血管炎。我们报告一例结核性脑膜脑炎并发双侧丘脑梗死的罕见病例。尽管进行了抗结核药物治疗，但结核性脑膜脑炎中的缺血性中风仍不可预测且预后不良，这凸显了一级预防的重要性，尤其是在结核病流行地区。