Reversible Vasculopathy in Tuberculous Meningitis: Transcranial Doppler and Magnetic Resonance Angiography Study

J Korean Neurol Assoc > Volume 22(2); 2004 > Article

Journal of the Korean Neurological Association 2004;22(2): 134-137.

결핵성뇌막염에서 발생한 가역성 대뇌동맥 협착 1예: 경두개도플러검사 및 자기공명뇌혈관조영술 소견

인제대학교 의과대학 일산백병원 신경과학교실

Reversible Vasculopathy in Tuberculous Meningitis: Transcranial Doppler and Magnetic Resonance Angiography Study

Won-Kyoo Kim

Department of Neurology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea

Abstract

The reversibility of arterial stenosis in arteritis of tuberculous meningitis (TBM) has been rarely reported. However, we report a 25-year-old man with TBM who developed arteritis. Initial TCD and MRA showed stenosis in the left middle cerebral and intracranial internal carotid arteries, which improved on follow-up TCD and MRA after antituberculous and steroid treatment. This case showed that the arterial stenosis in TBM could be reversed with proper management and that TCD with MRA can be useful diagnostic tools.Key Words: Tuberculous meningitis, Arteritis, Transcranial doppler