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Intracranial Tuberculosis in AIDS:CT and MRI Findings
et al Neuroradiology 34:11-14, Villoria,M.F., 1992
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Article Abstract
CT and MRI findings in 35 patients with the acquired immune deficiency syndrome(AIDS)and proven intracranial tuberculosis(TB)are presented.Over 90%of the patients were intravenous drug abusers and in two-thirds TB was the first manifestation of AIDS.CT was normal in one quarter,the most frequent findings being hydrocephalus(51%)and meningeal enhancement(41%), commonly seen together(31.5%).Meningeal enhancement was seen in 48%of the CT studies with intravenous contrast medium and in 3 cases studied with MRI and iv gadolinium DPTA,in 2 of which CT was negative.Parenchymal involvement was found in 37%of cases:MRI was more sensitive than CT for its detection.One quarter of the patients had ischaemic lesions,mainly in the basal ganglia.We confirm the usefulness of CT and the superiority of MRI in the diagnosis of intracranial TB and in differential diagnosis from other conditions likely to be found in these patients.
 
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abscess,intracerebral
abscess,intracerebral,tuberculous
acquired immunodeficiency syndrome
basal cistern
CAT scan
CAT scan,abnormal
CAT scan,contrast enhanced
CAT scan,false negative
drug abuse
drug abuse,neurologic complications of
fever
hydrocephalus
meningeal enhancement
meningitis,basilar
meningitis,TB
MRI
MRI,abnormal
MRI,CAT scan compared to
MRI,contrast enhanced
tuberculoma of CNS

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