Clinical Study on Tuberculous Meningitis
(Correlation with brain CT findings)

J Korean Neurol Assoc > Volume 3(2); 1985 > Article

Journal of the Korean Neurological Association 1985;3(2): 187-193.

결핵성 뇌막염의 임상적 연구 (뇌전 산화단층촬영과의 관계)

노재규, 서만욱, 장기현

서울대학교 신경과,방사선과.

Clinical Study on Tuberculous Meningitis (Correlation with brain CT findings)

Jae-Kyue No, M.D.,Ki-Hyun Jang, M.D., Man-Wook Seo, M.D.

Department of Neurology, Radiology, Seoul National University

Abstract

We tried to correlate brain CT findings with clinical state at admission and outcome at discharge in 42 selected cases from 94 adult patients under the diagnosis of tuberculous meningitis at Seoul National University Hospital during last four years from 1981. Their clinical state at admission and outcome at discharge were classified into three groups by severity of symptoms, respectively. The final outcome of them were well correlated with their clinical states at admission. Observed abnormal brain CT findings in this series were hydrocephalus (74%), dirthy cisternal enhancement (52%), infraction (38%), periventricular low density (36%), and tuberculoma (19%). The poorer the clinical state at admission and outcome at discharge, the more frequent the abnormal brain CT findings, especially of periventricular low density and infraction. But periventricular low density without infarction seemed to affect more deleterious effect on clinical state at admission than on final outcome.