Relevance and challenges of neuroimaging for childhood tuberculous meningitis diagnosis in a resource-constraint country: A case report and literature review

Objective: Tuberculous meningitis (TBM) may be an undiagnosed cause of childhood mortality or neurologic sequelae. Cranial computed tomography (CT) scan remains a relevant diagnostic and prognostic tool amidst negative cerebrospinal fluid sputum findings for tuberculous diagnosis. Delays in diagnosis treatment increase morbidity resource-constraint countries.
 Case report: A seven-year-old boy was referred with three weeks history fever, progressive body weakness, aphasia unconsciousness (three days). He had right cranial nerve III palsy, generalized hypertonia, hyperreflexia lower limbs. All tuberculosis tests were except the CT leptomeningeal enhancement basilar involvement evidence obstructive hydrocephalus. managed anti-tuberculous drugs, prednisolone, ventriculoperitoneal shunt, physiotherapy, made significant recovery after year anti-tuberculosis treatment.
 Conclusion: The facilitate TBM which prompt commencement is crucial good outcome.