[Location of the lesion and the cerebrospinal fluid findings in tuberculous meningitis: differences in the lumbar, cisternal and ventricular compartments].
Tuberculosis remains one of the most prevalent infectious diseases worldwide. In the present study, we describe a case of tuberculous meningitis that caused cerebrospinal fluid (CSF) flow block, leading to difficulties in the diagnosis. The importance of the lesion site and its influence on CSF analysis as a support for the diagnosis of tuberculous meningitis is discussed. In this case, the search for acid-fast bacilii was positive in the cisternal CSF, but not in the ventricular and lumbar CSF, demonstrating the relationship between the accuracy of the test and the location of the inflamatory lesion disease.
Heringer
Rafael R
RR
Escola de Medicina e Cirurgia, Universidade Federal do Estado do Rio de Janeiro.
Fernandes
Luís Eduardo B C
LE
Gonçalves
Reizer Reis
RR
Puccioni-Sohler
Marzia
M
D000328:Adult; D002555:Cerebrospinal Fluid / Q000502:physiology; D003943:Diagnostic Techniques, Neurological; D017809:Fatal Outcome; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014390:Tuberculosis, Meningeal / Q000134:cerebrospinal fluid* / Q000175:diagnosis / Q000382:microbiology