Ischemic Stroke: A Complication of Tuberculous Meningitis

Journal Title: International Neuropsychiatric Disease Journal - Year 2016, Vol 8, Issue 3

Abstract

We report a case of a 45-year old Hispanic male who was diagnosed with tuberculous meningitis (TBM) presented to the emergency department (ED) with altered mental status, confusion, and violent behavior. Computed tomography (CT) scan of the head was normal and repeated lumbar puncture (LP) did not yield new findings. Magnetic resonance imaging (MRI) of head showed multiple ischemic infarcts. Non-tPA stroke protocol was followed and anti-TB medicines were continued. With continuous cardiac monitoring, echocardiogram (ECHO) was normal so arrhythmia was less likely. Soon he was more responsive and alert with no further episodes of agitation and behavioral changes. Then, he was able to walk with assistance and was discharged to acute rehabilitation facility.

Authors and Affiliations

Muhammad Azharuddin, Ishan Lalani, Doantrang Du, Wael Ghali

Keywords

Related Articles

Quality of Life of Subjects with Leprosy and Albinism

Background: Disfiguring skin disorders like leprosy and albinism may negatively distort a patient’s body image with resultant impairment in quality of life. Objective: This study determined and compared the quality of l...

Dextromethorphan for Tardive Dyskinesia

Aims: To report three cases of successful treatment of tardive dyskinesia (TD) with dextromethorphan. Study Design: Retrospective chart review. Place and Duration of Study: Private outpatient practice in Syracuse, NY....

Cotard’s Syndrome: Clinical Case Presentation and Literature Review

In 1880 French neurologist Jules Cotard described a condition characterized by delusion of negation (nihilistic delusion) in a melancholia context. Recently, there has been a resurgence of interest in Cotard’s syndrome....

Behavioral and Psychological Symptoms of Dementia in Nigerian Hospital Patients: Prevalence, Correlates and Caregiver Burden

Aims: This study was aimed at measuring the prevalence and impact of Behavioral and Psychological Symptoms of Dementia (BPSD) of elderly hospital attendees in Lagos Nigeria; and determining socio-cultural factors associa...

Neurobehavioral and Micro Structural Evaluation of the Anti-anxiety Potential of Flaxseed oil Following Rotenone-induced Parkinson’ Disease in Mice

Aim: This study investigated the neurobehavioral and micro structural anti-anxiety potential of flaxseed oil following rotenone-induced Parkinson’ disease [PD] in mice Study Design: Fifty-six adult male and female mice (...

Download PDF file
  • EP ID EP241839
  • DOI 10.9734/INDJ/2016/29820
  • Views 122
  • Downloads 0

How To Cite

Muhammad Azharuddin, Ishan Lalani, Doantrang Du, Wael Ghali (2016). Ischemic Stroke: A Complication of Tuberculous Meningitis. International Neuropsychiatric Disease Journal, 8(3), 1-6. https://europub.co.uk/articles/-A-241839