Case Study

Age

(yrs)

Sex

Immuno

competent status

Clinical

Findings

CSF Study

Primary TB Lesion

MRI

Technique

MRI Findings

Biopsy

Follow up

Status

1. Tubercular encephalitis

without meningitis

60

M

Immune

competent

Increasing weakness of left half of body with acute onset of leftsided hemiplegia. No pulmonary focus.

Not

done

Cns tuberculoma

Routine

Tuberculomas with encephalitis.

Not done

Discharged satisfactorily.

2. Large tubercular parenchymal mass

16

F

Immune

competent

Gradual progressive weakness of left upper and lower limbs.

Not

done

None

Routine with advanced.

Right thalamic mass with mildly elevated chol.

Advised, but delayed

/refused by patient.

Marked resolution of mass after AKT.

3. Intramedullary spinal tuberculoma

20

F

Immune

competent

Patient has pulmonary TB on treatment. Now presented with gradual onset of lower limb weakness.

Not

done

Pulmonary TB

Routine

Intramedullary tuberculoma at C5-C6 level.

Advised, but delayed

/refused by patient.

Marked resolution of lesion after AKT.

4. Isonazid cerebellitis

43

M

Immune

competent

Patient had tubercular arthritis on treatment. Underlying highly deranged renal parameters. patient had acute onset of slurred speech.

Not

done

Tubercular arthritis

Routine

Bilateral symmetrical T2/Flair dentate nuclei hyperintensity.

Not advised.

Patient lost in follow up.