Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- 1 ISOLATED ANGIITIS OF THE CENTRAL NERVOUS SYSTEM
- 2 TEMPORAL ARTERITIS
- 3 VARICELLA ZOSTER AND OTHER VIRUS-RELATED CEREBRAL VASCULOPATHY
- 4 TAKAYASU DISEASE
- 5 BÜRGER’S DISEASE (THROMBOANGIITIS OBLITERANS)
- 6 NEUROSYPHILIS AND STROKE
- 7 VASCULITIS AND STROKE DUE TO TUBERCULOSIS
- 8 STROKE DUE TO FUNGAL INFECTIONS
- 9 STROKE AND VASCULITIS IN PATIENTS WITH CYSTICERCOSIS
- 10 STROKE IN PATIENTS WITH LYME DISEASE
- 11 BEHÇET’S DISEASE
- 12 STROKE AND NEUROSARCOIDOSIS
- 13 KAWASAKI DISEASE: CEREBROVASCULAR AND NEUROLOGIC COMPLICATIONS
- 14 CEREBROVASCULAR PROBLEMS IN CHAGAS’ DISEASE
- 15 STROKE IN PERSONS INFECTED WITH HIV
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
7 - VASCULITIS AND STROKE DUE TO TUBERCULOSIS
from PART I: - INFECTIOUS AND INFLAMMATORY CONDITIONS
Published online by Cambridge University Press: 06 January 2010
Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- 1 ISOLATED ANGIITIS OF THE CENTRAL NERVOUS SYSTEM
- 2 TEMPORAL ARTERITIS
- 3 VARICELLA ZOSTER AND OTHER VIRUS-RELATED CEREBRAL VASCULOPATHY
- 4 TAKAYASU DISEASE
- 5 BÜRGER’S DISEASE (THROMBOANGIITIS OBLITERANS)
- 6 NEUROSYPHILIS AND STROKE
- 7 VASCULITIS AND STROKE DUE TO TUBERCULOSIS
- 8 STROKE DUE TO FUNGAL INFECTIONS
- 9 STROKE AND VASCULITIS IN PATIENTS WITH CYSTICERCOSIS
- 10 STROKE IN PATIENTS WITH LYME DISEASE
- 11 BEHÇET’S DISEASE
- 12 STROKE AND NEUROSARCOIDOSIS
- 13 KAWASAKI DISEASE: CEREBROVASCULAR AND NEUROLOGIC COMPLICATIONS
- 14 CEREBROVASCULAR PROBLEMS IN CHAGAS’ DISEASE
- 15 STROKE IN PERSONS INFECTED WITH HIV
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
Summary
Tuberculous meningitis (TBM) is still a crippling disease with a high degree of morbidity and mortality. One of the most severe complications of TBM is stroke resulting from vascular involvement. In HIV-infected individuals with TBM, the immune response to the tuberculous bacilli is altered; therefore, pathological features are very different from those seen in patients with relatively normal cell-mediated immunity (CMI). The brains of such individuals showed minimal inflammatory response with parenchymal infarcts and vasculitis, not only in the basal ganglia but in the cortical parenchyma as well. Computed tomography (CT) or magnetic resonance imaging (MRI) of the head may reveal intense basal enhancement after intravenous contrast administration, communicating or noncommunicating hydrocephalus, cerebral infarcts, parenchymatous tuberculomas, or a combination of two or more of these features. Besides chemotherapy, patients of TBM with vasculitis and infarcts should be given corticosteroids in a dose of 1 mg/kg/day, tapering this over 4-6 weeks.
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- Uncommon Causes of Stroke , pp. 41 - 46Publisher: Cambridge University PressPrint publication year: 2008
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