Summary
The technique of intravenous dynamic cranial computed tomography has been applied to the patient population at this location in Saudi Arabia with meningeal tuberculosis. The various manifestations and sequelae including meningitis, arteritis, infarct, and true meningeal tuberculomata all have characteristic if not specific appearances. The dynamic study enhances an, otherwise static examination and reveals a great deal about the pathophysiology of tuberculosis involving the cerebral meningeal surfaces.
Similar content being viewed by others
References
Arimitsu T, Jabbari B, Buckler RE, Di Chiro G (1979) Computed tomography in a verified case of tuberculous meningitis. Neurology 29: 384–386
Bhargava S, Gupta AK, Tandon PN (1982) Tuberculous meningitis — a CT study. Br J Radiol 55: 189–196
Casselman ES, Hasso AN, Ashwal S, Schneider S (1980) Computed tomography of tuberculous meningitis in infants and children. J Comput Assist Timogr 4: 211–216
Chu NS (1980) Tuberculous meningitis. Computerized tomographic manifestations. Arch Neurol 37: 458–460
Elisevich K, Arpin EJ (1982) Tuberculoma masquerading as a meningioma. J Neurosurg 56: 435–438
Enzmann DR, Norman D, Mani J, Newton TH (1976) Computed tomography of granulomatous basal arachnoiditis. Radiology 120: 341–344
Frech RS (1969) Tuberculous meningitis. The clinical pattern of sterile meningitis, pneumonia, and hydrocephalus or split sutures. A study of 14 patients seen between 1956 and 1967. Radiology 91: 1129–1134
Lees AJ, MacLeod AF, Marshall J (1980) Cerebral tuberculomas developing during treatment of tuberculous meningitis. Lancet 1: 1208–1211
Naughten E, Newton R, Weindling AM, Bower BD (1981) Tuberculous meningitis in children. Recent experience in two English centres. Lancet 31: 973–975
Rovira M, Romero F, Torrent O, Ibarra B (1980) Study of tuberculous meningitis by CT. Neuroradiology 19: 137–141
Sinh G, Pandya SK, Dastur DK (1968) Pathogenesis of unusual intracranial tuberculomas and tuberculous space-occupying lesions. J Neurosurg 29: 149–159
Stevens DL, Everett ED (1978) Sequential computerized axial tomography in tuberculous meningitis. J Am Med Assoc 239: 642
Welchman JM (1979) Computerised tomography of intracranial tuberculomata. Clin Radiol 30: 567–573
Whelan MA, Stern J (1981) Intracranial tuberculoma. Radiology 138: 75–81
Witrak BJ, Ellis GT (1985) Intracranial tuberculosis: manifestations on computerized tomography. South Med J 78: 386–392
Dobben GD, Valvassori GE, Mafee MF, Berninger WH (1979) Evaluation of brain circulation by rapid rotational computed tomography. Radiology 133:105–111
Drayer BP, Heinz ER, Dujovny M, Wolfson SK Jr, Gur D (1979) Patterns of brain perfusion: dynamic computed tomography using intravenous contrast enhancement. J Comput Assist Tomogr 3: 633–640
Heinz ER, Dubois P, Osborne D, Drayer B, Barrett W (1979) Dynamic computed tomography study of the brain. J Comput Assist Tomogr 3: 641–649
Norman D, Axel L, Berninger WH et al. (1981) Dynamic computed tomography of the brain: techniques, data analysis, and applications. AJNR 2: 1–12
Traupe H, Heiss WD, Hoeffken W, Zulch KJ (1980) Perfusion patterns in CT transit studies. Neuroradiology 19: 181–191
Britt RH, Enzmann DR, Yeager AS (1981) Neuropathological and computerized tomographic findings in experimental brain abscess. J Neurosurg 55: 590–603
Dastur DK, Dave UP (1977) Ultrastructural, basis of the vasculopathy in and around brain tuberculomas. Am J Pathol 89: 35–45
Enzmann DR, Placone RC, Britt RH (1984) Dynamic computed tomographic scans in experimental brain abscess. Neuroradiology 26: 309–313
Gado MH, Phelps ME, Coleman RE (1975) An extravascular component of contrast enhancement in cranial computed tomography. Radiology 117: 595–597
Kormano M, Dean PB (1976) Extravascular contrast material: the major component of contrast enhancement. Radiology 121: 379–382
Norman D, Stevens EA, Wing SD, Levin V, Newton TH (1978) Quantitative aspects of contrast enhancement in cranial computed tomography. Radiology 129: 683–688
Wood JH, Doppman JL, Lightfoote WE II, Girton M, Ommaya AK (1978) Role of vascular proliferation on angiographic appearance and encapsulation of experimental traumatic and metastatic brain abscesses. J Neurosurg 48: 264–273
Greitz T (1964) Angiography in tuberculous meningitis. Acta Radiol 2: 369–378
Leeds NE, Goldberg HI (1971) Angiographic manifestations in cerebral inflammatory disease. Radiology 98: 595–604
Lehrer H (1966) The angiographic triad in tuberculous meningitis. A radiologic and clinicopathologic correlation. Radiology 87: 829–835
Mathew NT, Abraham J, Chandy J (1970) Cerebral angiographic features in tuberculous meningitis. Neurology 20: 1015–1023
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jinkins, J.R. Dynamic CT of tuberculous meningeal reactions. Neuroradiology 29, 343–347 (1987). https://doi.org/10.1007/BF00348912
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00348912