UNILATERAL MENINGEAL THICKENING - A RARE PRESENTATION OF TUBERCULOUS MENINGITIS

A rare case of tuberculous meningitis (TBM) causing unilateral thicken ing of meninges, is described here. The 50 year old male is presented with hemicranial headache and unilateral multiple cranial nerve involv ement without any long tract signs. Magnetic resonance imaging (MRI) s can including enhanced studies showed a hemicranial thickening of the meninges. Biopsy of the meninges revealed tuberculosis. The patient im proved gradually on antitubercular treatment (ATT). Follow-up at 6 mon ths revealed significant improvement in neurological status. Though tu berculous involvement of the central nervous system (CNS) is very comm on in India, hemicranial meningeal involvement has never been reported . (C) 1997 Elsevier Science B.V.