J Korean Neurol Assoc.
2009 Nov;27(4):409-412.
Tuberculous Meningoencephalitis Complicated by Subarachnoid Hemorrhage
- Affiliations
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- 1Department of Neurology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jkkang@amc.seoul.kr
- 2Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Abstract
- Tuberculous meningoencephalitis (TBM) is often complicated by various neurologic manifestations including ischemic infarctions. However, intracerebral hemorrhage in TBM has rarely been described. We report a 30-year-old woman with TBM who developed subarachnoid, intraventricular, and intracerebral hemorrhage, and finally died in spite of treatment with antituberculous and steroid therapy. Autopsy findings revealed multifocal thrombotic occlusion of the arteries and thinning of the vessel walls secondary to tuberculous vasculitis.