Hemorrhagic Infarction in Tuberculous Meningitis

Abstract

A 61-year-old woman, who presented with a low-grade fever and developed consciousness disturbance, was transferred to our hospital. On admission, she was somnolent, with a 38.8 fever and nuchal rigidity. Serum levels of sodium and chlorine were 135 and 96 mEq/l, respectively. Cerebrospinal fluid revealed pleocytosis(cells 279/mm 3 , lymphocytes 54%), elevated protein(702 mg/dl), low glucose(38 mg/dl), normal chlorine(123 mEq/l)and a positive PCR for tuberculosis. T1weighted MR images showed spotty high-intensity areas in the left posterior temporal lobe. T2-weighted MR and FLAIR images showed high-intensity areas in the white matter in the left posterior temporal lobe, where SPECT revealed low