Research Article
Tuberculous Meningitis in Adults: A Review of 160 Cases
Table 1
Clinical and laboratory characteristics of TBM cases.
| | | (%) |
| Headache | | 138 (86.3) | Fever | | 110 (69.2) | Nausea vomiting | | 102 (63.8) | Lack of appetite weakness | | 65 (40.6) | Change in personality | | 44 (27.5) | Weight loss | | 42 (26.3) | Night sweats | | 37 (23.1) | Stiff neck | | 141 (88.1) | Meningeal irritation findings | | 59 (36.9) | Blurred consciousness | | 95 (59.4) | Cranial nerve palsy | | 38 (23.8) | Coma | | 33 (20.6) | Convulsions | | 25 (15.6) | Plegia/paresis | | 24 (15) | | | | Peripheral WBC count () | normal≠ | 97 (74) | | abnormal* | 34 (26) | CSF WBC count/mm3 () | <100 | 47 (31.8) | | 100–500 | 86 (58.1) | | >500 | 15 (10.1) | CSF/blood glucose ratio () | <0.60 | 140 (94.6) | | ≤0.30 | 81 (54.7) | CSF protein level mg/dL () | <40 | 13 (8.8) | | 40–150 | 74 (50) | | >150 | 61 (41.2) | Culture positivity in CSF | | 59 (39.9) | | | | Cranial CT or MRI
| Tuberculoma | 49 (36.6) | | Basal meningitis | 36 (26.9) | | Leptomeningeal palsy | 34 (25.4) | | Hydrocephalus | 28 (20.9) | | Edema | 16 (11.9) | | Ischemia-infarct | 12 (8.9) | | Abscess | 5 (3.7) | | Arachnoiditis | 3 (2.2) | | Normal | 30 (22.4) |
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Normal ≠ 4000–10000/mm3. Abnormal* >10000/mm3.
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