| MR Imaging of Disseminated Tuberculosis of the
Brain in a Patient with Miliary Tuberculosis : Initial Findings
and Changes Six Months after Antituberculous Therapy |
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Jae Ho Jang1, Jae Woo Lim1, Soon Lee Jung1, Kyuchul Choeh1, Taeil Han2 |
1Department of Pediatrics, School of Medicine, Eulji University, Daejeon, Korea
2Department of Radiology, School of Medicine, Eulji University, Daejeon, Korea |
| 속립성 뇌결핵의 초기 자기공명영상 소견과치료 후 변화 |
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장재호1, 임재우1, 정순이1, 최규철1, 한태일2 |
1을지의과대학교 소아과학교실
2을지의과대학교 방사선과학교실 |
Correspondence:
Kyuchul Choeh, Email: choeh@urii.cc
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| Abstract |
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A 23-month-old girl visited with chronic cough and her chest radiograph showed miliary tuberculosis. There was no neurological abnormality. But CSF findings showed WBC 22/mm3(lymphocyte 20%, neutrophil 80%) and positive result of polymease chain reaction(PCR) for M. tuberculosis. MR imaging showed multiple ring enhanced nodules and ovoid nonenhancing bright signal lesion on the cerebrum, cerebellar parenchyme, and left basal ganglia. Antituberculous chemotherapy was done and follow-up MR imaging was done after six months. One month after treatment, the number and size of nodules had decreased. Six months after treatment, the multiple enhanced nodules and leptomeningeal enhancement were not observed, and high signal intensity of genu portion of left internal capsule and posterior portion of putamen were decreased. |
| Key Words:
Tuberculous meningitis, MR imaging |
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