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Journal of Case Reports
An Unusual Association: Tuberculous Meningitis Causing Cerebral Venous Thrombosis
Vasanthi Natarajan, Sanjoy George, George Eapen, Jeyanthi Arulneyam1
Department of Internal Medicine and Neurology1, Pondicherry Institute of Medical Sciences, Puducherry, India.
Corresponding Author:
Dr. Vasanthi Natarajan
Email: vasanthikarthi2004@yahoo.co.in
Received: 25-MAY-2015 Accepted: 27-JUL-2015 Published Online: 10-AUG-2015
DOI: http://dx.doi.org/10.17659/01.2015.0088
Hypercoagulable conditions are known to cause cerebral venous thrombosis (CVT), however, infection related CVT is rare. Thrombosis involving cerebral venous channel is less common than artery. Infection could be either bacterial or fungal in origin. Mycobacterium tuberculosis causing cerebral venous thrombosis is rarely reported. We report a 28 year postpartum lady, who presented with fever, headache, altered sensorium with right sided hemiparesis and signs of meningeal irritation. On evaluation, her cerebrospinal fluid analysis showed evidence of tuberculous infection, magnetic resonance venogram showed cerebral venous thrombosis. She was evaluated for other procoagulant conditions, which were negative. She improved with antitubercular, antiepileptics, anticoagulation medications.
Keywords : Headache, Thrombosis, Tuberculosis, Venous Thrombosis, Anticonvulsants.
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