Late-Onset Cerebral Vasculitis with Tuberculous Meningitis: A Case Report
نویسندگان
چکیده
Tuberculous cerebral vasculitis (TCV) is a catastrophic complication of tuberculous meningitis (TBM). We report herein the case of a 41-year-old woman with TBM who presented with a fever and headache for 2 weeks. Cerebrospinal fluid analysis revealed pleocytosis with lymphocytic predominance. On admission day 4, an anti-tuberculosis regimen and oral prednisolone were initiated; on day 30, she developed TCV during tapering of the prednisolone dosage. After supportive care and an increased dosage of prednisolone, her condition gradually improved to normal. We suggest that TCV should be included in the differential diagnosis of any case of neurological deterioration arising during the course of TBM. (J Intern Med Taiwan 2014; 25:
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