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THE DIFFERENT FACES OF CENTRAL NERVOUS SYSTEM TUBERCULOSIS: A PICTORIAL REVIEW. Al-Edrus SA, Shahizon AMM, Norzaini R, Sobri M.
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THE DIFFERENT FACES OF CENTRAL NERVOUS SYSTEM TUBERCULOSIS: A PICTORIAL REVIEW Al-Edrus SA, Shahizon AMM, Norzaini R, Sobri M
Tuberculosis (TB), an infection caused by Mycobacterium tuberculosis is an infectious disease that continues to be a significant health problem and is responsible for 8 million annual deaths worldwide. • Involvement of the central nervous system remains it’s most severe form and is responsible for a high morbidity and mortality. • The radiological features are remarkably diverse and may involve any part of the brain, spinal cord and their coverings.
Parenchyma: Tuberculoma Tucerculous abcess Miliary TB Vascular: Vasculitis Infarction Haemorrhage Calvarium Meninges: Leptomeninges Pachymeninges Ventricles: Hydrocephalus Ventriculitis Cord and meninges: Leptomeningitis Arachnoiditis Spinal exudate Intramedullary tuberculoma Myelitis Spine: Spondylitis Discitis Paraspinal collection
Calvarium: Sagittal T2WI Sagittal T1WI-post Gd
Post treatment Sagittal T1WI Sagittal T1WI post Gd
Tuberculoma Axial T2WI Axial FLAIR
Axial T1WI Post Gd Sagittal T1WI Post Gd
Miliary tuberculosis Axial T2WI Axial T1WI
Sagittal T1WI Post GD Axial T1WI Post Gd
Tuberculous abcess Axial T2WI Coronal FLAIR
Sagittal T1WI Post Gd
Axial T1WI Post Gd Coronal T1WI Post Gd
Leptomeningeal tuberculosis T1 MPR Post Gd
Pachymeningeal tuberculosis T1 MPR post Gd
Ischaemic infarct Axial T2WI Coronal FLAIR
Axial DWI Axial ADC
Haemorrhagic infarct Axial T2WI Sagittal T1WI
Axial T1WI Post Gd Coronal T1WI Post Gd
Tuberculous vasculitis Axial T1WI Post Gd
Axial Gradient Echo Axial T2WI
Axial Gradient Echo Axial T2WI
Tuberculous myelitis Sagittal T2WI Sagittal T1WI
Sagittal T2WI Sagittal T1WI
Sagittal T1WI Post Gd
Intramedullary tuberculoma T2WI T2 STIR T1WI
Axial T1WI Post Gd Sagittal T1WI Post Gd
Tuberculous CSF exudate T1WI T2WI T2 STIR
T1WI Post Gd T2WI
T1WI Post Gd T1WI
Spinal TB: paraspinal and subligamentous abcess T1WI T2WI T2 STIR
Post Gd Ax Sag Cor