Central Nervous System Tuberculosis

• DOI: 10.1097/rmr.0000000000000023
• Publication Date: 2014-06-06T12:36:15Z
• Authors: Carlos Torres; Roy Riascos; Ramon Figueroa; Rakesh K. Gupta
• Keywords: Tuberculoma; Arachnoiditis; Tuberculous Meningitis

Tuberculosis (TB) has shown a resurgence in nonendemic populations recent years and accounts for 8 million deaths annually the world. Central nervous system involvement is one of most serious forms this infection, acting as prominent cause morbidity mortality developing countries. The rising number cases developed countries mostly attributed to factors such pandemic acquired immunodeficiency syndrome increased migration globalized Mycobacterium TB responsible almost all tubercular infection central system. It can manifest variety tuberculous meningitis, tuberculoma, abscess. Spinal may result spondylitis, arachnoiditis, and/or focal intramedullary tuberculomas. Timely diagnosis paramount early institution appropriate therapy, because delayed treatment associated with severe mortality. therefore important that physicians radiologists understand characteristic patterns, distribution, imaging manifestations Magnetic resonance considered modality choice study patients suspected TB. Advanced techniques including magnetic perfusion diffusion tensor be value objective assessment therapy guide physician modulation these patients.