ArticleThe neuroradiology journal2020
Cerebrovascular complications in tuberculous meningitis-A magnetic resonance imaging study in 90 patients from a tertiary care hospital.
Article in The neuroradiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- A clinical practice guideline for tuberculous meningitis.The Lancet. Infectious diseases · 2026Guideline
- Global Frequency and Clinical Features of Stroke in Patients With Tuberculous Meningitis: A Systematic Review.JAMA network open · 2022Pooled it
- Leptomeningeal enhancement in multiple sclerosis and other neurological diseases: A systematic review and Meta-Analysis.NeuroImage. Clinical · 2022Pooled it
- Ischaemia in tuberculous meningitis: update on pathophysiology, clinical predictors and management.Current opinion in infectious diseases · 2026Review
- Clinical characteristics of childhood tuberculous meningitis and risk factors for severe neurological sequelae disaggregated by age group.BMC infectious diseases · 2026Article
- Quantitative ASL Perfusion and Vessel Wall MRI in Tuberculous Meningitis: A Pre- and Post-Treatment Study.Journal of clinical medicine · 2026Article
- Paroxysmal sympathetic hyperactivity in tubercular meningitis: An underacknowledged association.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Review
- Tuberculous meningitis-related ischemic stroke: A retrospective study from a tertiary care hospital.Journal of clinical tuberculosis and other mycobacterial diseases · 2025Article
- Stroke from Infection.Cerebrovascular diseases extra · 2025Review
- Tuberculous meningitis leading to stroke: a case report.Annals of medicine and surgery (2012) · 2024Article
- Predicting cerebral infarction in tuberculous meningitis and its prognostic significance.Biomarkers in medicine · 2024Article
- Review
- The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR).The Lancet regional health. Southeast Asia · 2023Review
- Imaging recommendations and algorithms for pediatric tuberculosis: part 2-extrathoracic tuberculosis.Pediatric radiology · 2023Review
- Tuberculous meningitis.Clinical case reports · 2023Article
- Vascular Manifestations of Tuberculous Meningitis: MR Angiography and Venography Study.Journal of neurosciences in rural practice · 2022Article
- Cerebral Infarction and Evan's Ratio on MRI Affect the Severity and Prognosis of Tuberculosis Meningitis Patients.Diagnostics (Basel, Switzerland) · 2022Article
- Lessons learned from a fatal case of tuberculous meningitis with a rapid decline in an infant.Journal of clinical imaging science · 2022Article
- Neutrophil-Mediated Immunopathology and Matrix Metalloproteinases in Central Nervous System - Tuberculosis.Frontiers in immunology · 2021Review
- Revisiting the tubercular zone: A poor prognostic finding on neuroimaging.Journal of neurosciences in rural practiceArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCerebrovascular complications of tuberculous meningitis (TBM) are associated with increased morbidity and mortality. We retrospectively reviewed clinicoradiological findings of 90 TBM patients who presented to a tertiary care hospital, with emphasis on frequency and distribution of infarcts on diffusion imaging and pattern of vascular involvement on magnetic resonance (MR) angiography (MRA). MATERIALS AND
methodsMR images of 90 TBM patients at presentation (2012-2018) were coanalyzed by two radiologists for tuberculomas, leptomeningeal enhancement (LM), hydrocephalus, infarct and vascular abnormalities. Infarcts were categorized based on location ("tubercular" (TB) or "ischemic" zones) and arterial supply (perforators and cortical branches). Clinical and laboratory findings were correlated with imaging data.
resultsNinety TBM patients (age 10-82 years) were enlisted after application of inclusion criteria. Tuberculomas were most common (100%) followed by LM (84.4%), cerebral infarcts (57.7%) and hydrocephalus (29%). Location-wise, 35% infarcts were in ischemic, 13% in TB and 15% in both zones. According to arterial supply, infarcts equally (50%) involved perforators from the lateral lenticulostriate and posterior cerebral (PCA)/basilar artery (BA) followed by medial lenticulostriate arteries (23%). MRA was available in 74.4% and abnormal in 43.2%. The middle cerebral artery was frequently involved (76%) followed by the anterior cerebral artery (38%), internal carotid artery (31%), PCA and BA. Six had diffuse narrowing with a paucity of distal vessels. Cerebral infarction was associated with hydrocephalus (
conclusionIn TBM, strokes are common and mainly involve the perforators and cortical branches. MR is the imaging modality of choice for early diagnosis and timely management.
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