결핵수막뇌염에서 발생한 거미막밑출혈

J Korean Neurol Assoc > Volume 27(4); 2009 > Article

Journal of the Korean Neurological Association 2009;27(4): 409-412.

Tuberculous Meningoencephalitis Complicated by Subarachnoid Hemorrhage

김승민, 이유진 김범준 김장한a 강신광a 김종성 강중구

울산대학교 의과대학 서울아산병원 신경과학교실, 병리학교실a

결핵수막뇌염에서 발생한 거미막밑출혈

Seung Min Kim

Department of Neurology and Pathologya, 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. Key Words: Tuberculosis, Meningoencephalitis, Hemorrhage