Skip to main content
Log in

Dynamic CT of tuberculous meningeal reactions

  • Originals
  • Published:
Neuroradiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Arimitsu T, Jabbari B, Buckler RE, Di Chiro G (1979) Computed tomography in a verified case of tuberculous meningitis. Neurology 29: 384–386

    Google Scholar 

  2. Bhargava S, Gupta AK, Tandon PN (1982) Tuberculous meningitis — a CT study. Br J Radiol 55: 189–196

    Google Scholar 

  3. 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

    Google Scholar 

  4. Chu NS (1980) Tuberculous meningitis. Computerized tomographic manifestations. Arch Neurol 37: 458–460

    Google Scholar 

  5. Elisevich K, Arpin EJ (1982) Tuberculoma masquerading as a meningioma. J Neurosurg 56: 435–438

    Google Scholar 

  6. Enzmann DR, Norman D, Mani J, Newton TH (1976) Computed tomography of granulomatous basal arachnoiditis. Radiology 120: 341–344

    Google Scholar 

  7. 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

    Google Scholar 

  8. Lees AJ, MacLeod AF, Marshall J (1980) Cerebral tuberculomas developing during treatment of tuberculous meningitis. Lancet 1: 1208–1211

    Google Scholar 

  9. Naughten E, Newton R, Weindling AM, Bower BD (1981) Tuberculous meningitis in children. Recent experience in two English centres. Lancet 31: 973–975

    Google Scholar 

  10. Rovira M, Romero F, Torrent O, Ibarra B (1980) Study of tuberculous meningitis by CT. Neuroradiology 19: 137–141

    Google Scholar 

  11. Sinh G, Pandya SK, Dastur DK (1968) Pathogenesis of unusual intracranial tuberculomas and tuberculous space-occupying lesions. J Neurosurg 29: 149–159

    Google Scholar 

  12. Stevens DL, Everett ED (1978) Sequential computerized axial tomography in tuberculous meningitis. J Am Med Assoc 239: 642

    Google Scholar 

  13. Welchman JM (1979) Computerised tomography of intracranial tuberculomata. Clin Radiol 30: 567–573

    Google Scholar 

  14. Whelan MA, Stern J (1981) Intracranial tuberculoma. Radiology 138: 75–81

    Google Scholar 

  15. Witrak BJ, Ellis GT (1985) Intracranial tuberculosis: manifestations on computerized tomography. South Med J 78: 386–392

    Google Scholar 

  16. Dobben GD, Valvassori GE, Mafee MF, Berninger WH (1979) Evaluation of brain circulation by rapid rotational computed tomography. Radiology 133:105–111

    Google Scholar 

  17. 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

    Google Scholar 

  18. 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

    Google Scholar 

  19. Norman D, Axel L, Berninger WH et al. (1981) Dynamic computed tomography of the brain: techniques, data analysis, and applications. AJNR 2: 1–12

    Google Scholar 

  20. Traupe H, Heiss WD, Hoeffken W, Zulch KJ (1980) Perfusion patterns in CT transit studies. Neuroradiology 19: 181–191

    Google Scholar 

  21. Britt RH, Enzmann DR, Yeager AS (1981) Neuropathological and computerized tomographic findings in experimental brain abscess. J Neurosurg 55: 590–603

    Google Scholar 

  22. Dastur DK, Dave UP (1977) Ultrastructural, basis of the vasculopathy in and around brain tuberculomas. Am J Pathol 89: 35–45

    Google Scholar 

  23. Enzmann DR, Placone RC, Britt RH (1984) Dynamic computed tomographic scans in experimental brain abscess. Neuroradiology 26: 309–313

    Google Scholar 

  24. Gado MH, Phelps ME, Coleman RE (1975) An extravascular component of contrast enhancement in cranial computed tomography. Radiology 117: 595–597

    Google Scholar 

  25. Kormano M, Dean PB (1976) Extravascular contrast material: the major component of contrast enhancement. Radiology 121: 379–382

    Google Scholar 

  26. Norman D, Stevens EA, Wing SD, Levin V, Newton TH (1978) Quantitative aspects of contrast enhancement in cranial computed tomography. Radiology 129: 683–688

    Google Scholar 

  27. 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

    Google Scholar 

  28. Greitz T (1964) Angiography in tuberculous meningitis. Acta Radiol 2: 369–378

    Google Scholar 

  29. Leeds NE, Goldberg HI (1971) Angiographic manifestations in cerebral inflammatory disease. Radiology 98: 595–604

    Google Scholar 

  30. Lehrer H (1966) The angiographic triad in tuberculous meningitis. A radiologic and clinicopathologic correlation. Radiology 87: 829–835

    Google Scholar 

  31. Mathew NT, Abraham J, Chandy J (1970) Cerebral angiographic features in tuberculous meningitis. Neurology 20: 1015–1023

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00348912

Key words

Navigation