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Japanese

Ischemic Cerebrovascular Complication in Tuberculous Meningitis; A case with Fröhlich syndrome and hemiparesis Shiro KASHIWAGI 1 , Seisho ABIKO 1 , Kunihiko HARADA 1 , Katsuhiro YAMASHITA 1 , Haruhide ITO 1 1Department of Neurosurgery, Yamaguchi University School of Medicine Keyword: Tuberculous meningitis , Fröhlich syndrome , Cerebral infarction pp.1141-1145
Published Date 1990/12/10
DOI https://doi.org/10.11477/mf.1436900182
  • Abstract
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A 34-year-old man came to our hospital with an epi-sode of focal convulsion of the left arm. He had suf-fered from tuberculous meningitis in childhood and de-veloped left hemiparesis and Frohlich syndrome as se-quealae. CT scan showed a calcified mass in the su-prasellar cistern and a low density area suggestive of cerebral infarction in the right anterior cerebral artery distribution. The left carotid angiograms showed severe stenosis of the left internal carotid artery in the supra-clinoid segment and occlusion of the proximal middle and anterior cerebral arteries with development ofmoyamoya vessels as collateral circulation. The right carotid angiograms showed similar findings with less collateral circulation. At surgery, the anterior part of the Willis ring was found embedded in the suprasellar calcified granuloma. Recognition of cerebrovascularcomplication in tuberculous meningitis is important and an early modification of the therapy may improve the outcome.


Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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