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  Indian J Med Microbiol
 

Figure 2: 35-year-old male with tuberculous meningitis at first presentation. Axial T2W (brain) image (a) shows hyperintensity involving the left side of pons and adjacent left superior cerebellar hemisphere. Corresponding areas shows diffusion restriction (diffusion and ADC map) images (b and c) suggestive of an acute infarct. Postcontrast T1W axial section shows enhancement along the left ambient cistern and along the tentorium (d). Follow up vessel wall imaging study after 2.5 months shows worsening of the disease with exudates and tuberculomas filling up the basal cisternal cerebrospinal fluid spaces. Enhancement is seen involving the wall of left posterior cerebral arteries suggestive of vasculitis (black arrow images (e and f). The BA is embedded within the inflammatory tissue (arrowhead). Third imaging, image (g) after 7 months of the initial presentation showed near-complete resolution of basal exudates and tuberculomas with residual gliotic changes involving the brainstem and cerebellum

Figure 2: 35-year-old male with tuberculous meningitis at first presentation. Axial T2W (brain) image (a) shows hyperintensity involving the left side of pons and adjacent left superior cerebellar hemisphere. Corresponding areas shows diffusion restriction (diffusion and ADC map) images (b and c) suggestive of an acute infarct. Postcontrast T1W axial section shows enhancement along the left ambient cistern and along the tentorium (d). Follow up vessel wall imaging study after 2.5 months shows worsening of the disease with exudates and tuberculomas filling up the basal cisternal cerebrospinal fluid spaces. Enhancement is seen involving the wall of left posterior cerebral arteries suggestive of vasculitis (black arrow images (e and f). The BA is embedded within the inflammatory tissue (arrowhead). Third imaging, image (g) after 7 months of the initial presentation showed near-complete resolution of basal exudates and tuberculomas with residual gliotic changes involving the brainstem and cerebellum