Department of Radiodiagnosis, King George Medical College Lucknow, Uttar Pradesh, India.
Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Pediatr Radiol. 2024 Nov;54(12):1971-1983. doi: 10.1007/s00247-024-06015-2. Epub 2024 Aug 21.
Central nervous system tuberculosis (CNS TB) is the most dreaded manifestation of systemic tuberculosis in the pediatric age group. It is associated with high morbidity and mortality due to severe neurological complications and sequelae. Knowledge about the imaging spectrum of CNS TB will help in early presumptive diagnosis and prompt treatment, reducing the development of complications. Imaging also plays a vital role in monitoring the progression of disease after the initiation of antituberculosis therapy. Advanced magnetic resonance imaging (MRI) techniques have recently improved the diagnostic efficacy manifold.In this review, we describe the imaging characteristics, the role of advanced imaging techniques, and follow-up imaging in various types of CNS TB in the pediatric population.
中枢神经系统结核（CNS TB）是儿科人群全身结核最可怕的表现。由于严重的神经并发症和后遗症，它与高发病率和死亡率相关。对 CNS TB 成像谱的了解将有助于早期推测诊断和及时治疗，从而减少并发症的发展。影像学在开始抗结核治疗后监测疾病进展方面也起着至关重要的作用。最近，先进的磁共振成像（MRI）技术极大地提高了诊断效果。在这篇综述中，我们描述了儿科人群中各种类型的 CNS TB 的影像学特征、先进成像技术的作用以及随访影像学。
