Wednesday, November 18, 2009

A strange case of Tuberculosis

A 27 years old man presented with seizures and left sided hemiparesis

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The CT shows hypodensity in right temporo-parieto-occipital region

An MRI done a month later shows extensive nodular enhancing lesions with lot of edema. Significantly the enhancing area were T1 bright and T2 hypointense.

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After starting antitubercular treatment the edema and the enhancement subsided.

But the patient continues to have seizures and weakness persists.

The 4 month follow up CT:

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