A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy

Figure 2

A contrast of an initial diagnosis against its progression after one month T1A (a), FLAIR (b), a diagnosis 45 days later with T2A (c), and FLAIR (d) images. A meningeal contrast is involved and a thickening compatible with a diagnosis of basal meningitis is visible in the neighborhood of the right sylvian fissure and basal cisterns (a) and increments of parenchymal T2 intensity in that region (b). Instead of antituberculosis treatments working, on the forty-fifth day mark, parenchymal lesions have been proven to grow and new lesions have appeared (c, d).

(a)

(b)

(c)

(d)