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Tuberculous Cranial Pachymeningitis
Neurol 68:298-300, Thurtell,M.J.,et al, 2007
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Article Abstract
We describe two immunocompetent patients with tuberculous cranial pachymeningitis. Both patients underwent biopsy after focal dural thickening was identified on MRI. Histopathologic examination of tissue revealed necrotizing granulomatous inflammation. PCR for Mycobacterium tuberculosis DNA was negative on CSF but positive on tissue. Both patients responded to antituberculosis therapy. Although uncommon as a cause of cranial pachymeningitis, tuberculosis should be considered, since it responds well to treatment.
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cerebrospinal fluid,cell count,normal
dura,thickened
meningeal enhancement
meningitis
meningitis,TB
MRI
MRI,abnormal
MRI,contrast enhanced
pachymeningitis,cranial
polymerase chain reaction
tuberculosis
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