Clinical characteristics and treatment delay of cerebral infarction in tuberculous meningitis

Jau-Jiuan Sheu, Chao Yu Hsu, Rey-Yue Yuan, Chih Chao Yang

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25 引文 斯高帕斯(Scopus)


Background: Cerebral infarction (CI) complicating tuberculous meningitis (TBM) is a major risk factor of permanent disability. The prevention of this complication is an important issue in the quality care of TBM patients. Aim: Our aim was to evaluate the clinical characteristics of TBM patients with CI. Methods: Ninety-one adult patients with TBM were studied between 1999 and 2007. Clinical, neuroradiological and cerebrospinal fluid data of patients with CI were compared with those without CI. Results: Thirty of the 91 patients had CI, including symptomatic CI occurring before admission in 10 patients, symptomatic CI occurring during hospitalisation in four and silent CI in 16 patients. When compared with non-CI patients, patients with CI were younger and associated with focal weakness on presentation, and had basal meningeal enhancement and hydrocephalus on brain images. Prolonged doctor delays of antituberculosis and steroid therapies, neurosurgical intervention, focal weakness and dementia as sequelae, and poor outcomes were associated with patients with CI than non-CI patients. Conclusion: Contrast-enhanced brain imaging is helpful to explore the basal meningeal enhancement in CI patients, and contributes to early diagnosis and treatment of TBM. Early antituberculosis and steroid therapies may help prevent CI in TBM patients.
頁(從 - 到)294-300
期刊Internal Medicine Journal
出版狀態已發佈 - 3月 2012

ASJC Scopus subject areas

  • 內科學


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