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

Figure 3

Contrasted T1A (a) and T2A (b) images 60 days after the diagnosis, contrasted T1A (c) image of 75 days later, and contrasted T1A (d) image of 90 days after the diagnosis. Considerable progression of the basal meningitis and parenchymal tuberculomas was seen after the 60th day instead of tuberculosis regression (a, b). A contrast is seen in the scattered parenchymal tuberculoma (a). After this examination, the patient began taking a steroid. There is a reduction of the basal meningitis and tuberculoma at the contrasted T1A image after 15 days on the steroid treatment. (c) A disappearance of tuberculomas, regression of contrast involvement, and exudate on the right sylvian fissure are seen on the contrasted T1A image 30 days after the steroid treatment.

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