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Year : 2022  |  Volume : 24  |  Issue : 3  |  Page : 150-152

An unusual presentation of central nervous system tuberculosis with cerebral venous sinus thrombosis in a young male

1 Department of Internal Medicine, AFMC, Pune, Maharashtra, India
2 Department of Medicine, Command Hospital (SC), Pune, India
3 Department of Radiology, Army Hospital (R&R), New Delhi, India
4 Department of Surgery, Command Hospital (NC), Udhampur, India

Correspondence Address:
Col (Dr) Rajagopal Srinath
Department of Internal Medicine, AFMC, Pune - 411 040, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_161_20

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Tubercular meningitis is prevalent in India as various clinical subtypes. Our case illustrates an unusual presentation of tuberculosis (TB) meningitis with cerebral venous sinus thrombosis. Our patient had presented with fever and headache for about 1 week, followed by acute onset left hemiparesis. His evaluation revealed features of cerebral venous sinus thrombosis (CVT) on neuroimaging along with cerebrospinal fluid picture of the central nervous system (CNS) TB. He was managed with antitubercular therapy with steroids and anticoagulation following which the patient recovered. The coexistence of CVT with CNS TB is very rare. It is pertinent to diagnose the same early to prevent life-threatening complications.

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