Features and Outcomes of Ischemic Stroke in Tuberculous Meningitis

The authors prospectively studied 40 patients diagnosed with definite or probable tuberculous meningitis (TBM) who presented consecutively over a 6-year period to determine features of cerebral infarctions that might point to preventive measures. Definite TBM was defined as a positive acid-fast CSF smear or positive CSF culture for TB bacilli. Probable TBM was defined as clinical and CSF changes compatible with TBM, plus either a positive culture or smear from extraneural tissue, or appropriate response to anti-TB drugs after exclusion of other causes of meningitis. Patients underwent CT at onset, 3 months later, and if CNS complications or deterioration occurred. All patients received standard anti-TB treatment (including 6 weeks of dexame…