Two Cases of Cervical Dystonia in Tuberculous Meningitis

J Korean Neurol Assoc > Volume 22(1); 2004 > Article

Journal of the Korean Neurological Association 2004;22(1): 71-75.

결핵성뇌막염에서 발생한 경부 근긴장이상증 2예

김후원, 조은미 문창종 임건한 김진호

조선대학교 의과대학 신경과학교실

Two Cases of Cervical Dystonia in Tuberculous Meningitis

Hoo Won Kim

Department of Neurology, Chosun University College of Medicine, Gwangju, Korea

Abstract

Secondary cervical dystonia caused by tuberculous meningitis is extremely rare. Sixteen year-old female and 56 year-old male were admitted with fever, headache and mental change. Several days after admission they presented neck deviation and polygraphic study revealed prolonged muscular contraction of sterocleidomastoid and trapezius muscles without EEG changes. Their MRI revealed bilateral lesions in the basal ganglia. Recognition of dyskinesias associated with meningitis may be helpful in the diagnosis of tuberculous meningitis.Key Words: Cervical dystonia, Tuberculous meningitis, Basal ganglia