Segmental myoclonus and marked ataxia in a patient of pulmonary tuberculosis

Magnetic resonance imaging (MRI) of brain revealed patchy lesions over both cerebellar hemispheres, hypointense on T1-weighted images and hyperintense on T2-weighted images and fluid attenuated inversion recovery (FLAIR) images [Figure 1]b and c. There was no enhancement on contrast. Histopathology...

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Bibliographic Details
Published in:Neurology India 2011-11, Vol.59 (6), p.904
Main Authors: Ashraf, V V, Sureshkumar, E K, Anand, Rajeev, Kuruvilla, Shalini, Girija, A S
Format: Article
Language:English
Subjects:
Ataxia
Brain - pathology
Care and treatment
Child
Consolidation
Diagnosis
Herpes Zoster Oticus - etiology
Humans
Magnetic Resonance Imaging
Male
Myoclonic Cerebellar Dyssynergia
Myoclonus
Pathology
Pulmonary tuberculosis
Radiography, Thoracic
Tomography, X-Ray Computed
Tuberculosis
Tuberculosis, Pulmonary - complications
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Summary:Magnetic resonance imaging (MRI) of brain revealed patchy lesions over both cerebellar hemispheres, hypointense on T1-weighted images and hyperintense on T2-weighted images and fluid attenuated inversion recovery (FLAIR) images [Figure 1]b and c. There was no enhancement on contrast. Histopathology revealed fragmented lymphnode with extensive area of caseation and granulomas composed of epitheloid histocytes and lymphocytes, features suggestive of caseating tuberculous lymphadenitis [Figure 1]d. AFB staining of the drained cheesy material was strongly positive for Mycobacterium tuberculosis.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.91376