A Case of Tuberculous Meningoencephalitis Presenting as Prominent Psychotic Features / 결핵
Tuberculosis and Respiratory Diseases
; : 603-608, 2001.
Article
in Ko
| WPRIM
| ID: wpr-73153
Responsible library:
WPRO
ABSTRACT
Intracranial vasculitis is a rare and disastrous complication of tuberculous meningitis if not treated properly. Focal neurologic deficits according to the vessels involved are common manifestation. Here, we report a 29-year-old man who suffered abrupt, bizarre behavioral changes caused by vasculitis complicating tuberculous meningoencephalitis. The diagnosis of tuberculous meningitis is based upon both the CSF findings and a chest X-ray. His systemic symptoms disappeared by after being administered antituberculous medication but various psychotic features such as hypersomnia, hyperphagia and aggressivebehavior continued. A brain MRI showed multiple small parenchymal tuberculous nodules, and the brain MR angiography revealed a narrowing of the proimal middle cerebral arteries and a reduced visualization of the cerebral vessels, suggesting widespread vasculitis. Intravenous dexamethasone successfully ameliorated his behavioral changes. In addition both the follow up brain MRI and angiography showed a normalization of the previous findings.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Thorax
/
Tuberculosis
/
Tuberculosis, Meningeal
/
Vasculitis
/
Brain
/
Dexamethasone
/
Magnetic Resonance Imaging
/
Angiography
/
Hyperphagia
/
Follow-Up Studies
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Humans
Language:
Ko
Journal:
Tuberculosis and Respiratory Diseases
Year:
2001
Document type:
Article