Abstract

Emilin Scaria, Arya Narayanan*, Dr. Dhanya Dharman and Prof. Dr. Shaiju S. Dharan

ABSTRACT

Tuberculous meningitis (TBM) is a severe form of tuberculosis That indicates severe neurological complications. Tuberculous infection occurs through the inhalation of aerosol droplets containing M.tuberculosis bacilli.[1] The M .tuberculosis moves across the lung epithelium, leading to the activation of lung cells like the dendritic cells, neutrophils and alveolar macrophages which finally leads to the release of cytokines and chemokines that contributes to the immune protection. Meningeal tuberculoma is induced usually when the M tuberculosis breaches its barrier.[2,3] This condition is associated with high morbidity and mortality. Lethality due to delayed treatment and misdiagnosis has been alarmingly increasing among the patients affected with TBM. Due to the low incidence rate in many affluent countries, there is a general lack of familiarity and misconceptions, which results in delayed diagnosis and treatment with poor outcomes. Through this case report, we aim to highlight the typical clinical presentation, imaging findings and diagnostic pitfalls in the diagnosis of Tubercular meningitis.