Abnormal Brain MRI Signals in the Splenium of the Corpus Callosum, Basal Ganglia and Internal Capsule in a Suspected Case with Tuberculous Meningitis

Hirotani, Makoto; Yabe, Ichiro; Hamada, Shinsuke; Tsuji, Sachiko; Kikuchi, Seiji; Sasaki, Hidenao

Abnormal Brain MRI Signals in the Splenium of the Corpus Callosum, Basal Ganglia and Internal Capsule in a Suspected Case with Tuberculous Meningitis

Hirotani, Makoto; Yabe, Ichiro; Hamada, Shinsuke et al.

Internal Medicine, 2007, 46(8), 505-510

Permalink : https://hdl.handle.net/2115/20466

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アクセス権	open access
URI	https://hdl.handle.net/2115/20466
タイトル	Abnormal Brain MRI Signals in the Splenium of the Corpus Callosum, Basal Ganglia and Internal Capsule in a Suspected Case with Tuberculous Meningitis
著者	Hirotani, Makoto ; Yabe, Ichiro ; Hamada, Shinsuke ; Tsuji, Sachiko ; Kikuchi, Seiji ; Sasaki, Hidenao
e-Rad_Researcher 60399920 著者名 Hirotani, Makoto
e-Rad_Researcher 60372273 著者名 Yabe, Ichiro
著者名 Hamada, Shinsuke
著者名 Tsuji, Sachiko
著者名 Kikuchi, Seiji
e-Rad_Researcher 80281806 著者名 Sasaki, Hidenao
言語	英語
キーワード	tuberculous meningitis
	basal ganglia
	splenium of the corpus callosum
	Internal capsule
	allergic tuberculous encephalopathy
発行日	2007-04-17
出版者	Japanese Society of Internal Medicine
収録物名	Internal Medicine
巻(号)	46(8)
ページ	505-510
抄録	The patient was a 34-year-old man who visited the hospital with chief complaints of headache, fever, and disturbance of consciousness. In view of his clinical condition, the course of the disease, and results of examination, he was diagnosed with viral meningitis and treated accordingly. However, his clinical condition worsened, and MRI revealed abnormal signals in the splenium of the corpus callosum, in the basal ganglia and in the internal capsule, as well as the presence of severe inflammation in the base of the brain. Since he had a high ADA level in the cerebrospinal fluid and was consequently suspected to have tuberculous meningitis, he was placed on antitubercular agents. Then, his clinical condition began to improve. Additional steroid pulse therapy further improved his condition, and abnormal signals in the splenium of the corpus callosum and the basal ganglia resolved. This patient seems to be a valuable case suggesting that an immune mechanism contributed to the occurrence of central nervous system symptoms associated with tuberculous meningitis.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
PISSN	0918-2918
EISSN	1349-7235
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.2169/internalmedicine.46.6168