title: A rare presentation of cerebral venous sinus thrombosis associated with tubercular meningitis.
abstract: Central nervous system (CNS) tuberculosis may manifest as meningitis, meningoencephalitis, tuberculoma, tubercular abscess, stroke due to tuberculous vasculitis and tuberculous encephalopathy. Occasionally, tubercular meningitis (TBM) can predispose to cerebral venous sinus thrombosis (CVST). We report a young man, who developed CVST as a complication of TBM. Worsening of pre-existing headache, impairment of consciousness and seizures should raise suspicion of CVST in any patient with CNS infection. Early diagnosis and appropriate clinical management are important for good outcome.
authors.affiliation: Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India. drrajeshverma32@yahoo.com
authors.forename: Rajesh
authors.initials: R
authors.lastname: Verma
authors.forename: Rakesh
authors.initials: R
authors.lastname: Lalla
authors.forename: Tushar B
authors.initials: TB
authors.lastname: Patil
authors.forename: Navin
authors.initials: N
authors.lastname: Tiwari
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis / Q000382:microbiology*; D014390:Tuberculosis, Meningeal / Q000150:complications*
references.citation: J R Soc Med. 2000 May;93(5):230-3
references.pmid: 10884764
references.citation: Blood Coagul Fibrinolysis. 2013 Jul;24(5):540-3
references.pmid: 23518830
references.citation: Anesth Analg. 2012 Feb;114(2):275-85
references.pmid: 22104070
references.citation: N Engl J Med. 1998 Jun 18;338(25):1793-7
references.pmid: 9632445
references.citation: Blood Transfus. 2014 Jan;12 Suppl 1:s337-42
references.pmid: 23399370
references.citation: Stroke. 2006 Apr;37(4):991-5
references.pmid: 16484607
references.citation: Intern Med. 2012;51(8):949-51
references.pmid: 22504257
references.citation: AJNR Am J Neuroradiol. 2010 Mar;31(3):527-35
references.pmid: 19892813
references.citation: Arthritis Res Ther. 2012 Oct 18;14(5):R225
references.pmid: 23079185
references.citation: N Engl J Med. 2005 Apr 28;352(17):1791-8
references.pmid: 15858188
references.citation: Stroke. 1996 Oct;27(10):1721-3
references.pmid: 8841317
references.citation: J Neurol Neurosurg Psychiatry. 2005 Aug;76(8):1084-7
references.pmid: 16024884
references.citation: Clin Microbiol Rev. 2008 Apr;21(2):243-61, table of contents
references.pmid: 18400795
references.citation: Proc Natl Acad Sci U S A. 1986 Jun;83(12):4533-7
references.pmid: 3487091
references.citation: Arq Neuropsiquiatr. 2005 Sep;63(3B):852-4
references.pmid: 16258669