Tuberculous meningitis with blindness and perichiasmal involvement on MRI.
An 11-year-old boy with tuberculous meningitis developed blindness, a rare complication of this disease in the United States. Magnetic resonance imaging demonstrated perichiasmal enhancement, suggesting that arachnoiditis caused the visual loss. Serial neuroimaging over 7 months revealed a persistent inflammatory process in the chiasmatic cistern, hydrocephalus, and progressive cerebral infarctions.
Silverman
I E
IE
Department of Neurology and Ophthalmology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Liu
G T
GT
Bilaniuk
L T
LT
Volpe
N J
NJ
Galetta
S L
SL
D001100:Arachnoiditis / Q000150:complications / Q000175:diagnosis; D001766:Blindness / Q000209:etiology*; D002544:Cerebral Infarction / Q000175:diagnosis; D002648:Child; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D009897:Optic Chiasm / Q000473:pathology*; D014390:Tuberculosis, Meningeal / Q000150:complications / Q000175:diagnosis*