Intraventricular haemorrhage due to ruptured posterior inferior cerebellarartery aneurysm in tuberculous meningitis

A 9-year-old Asian boy with known miliary tuberculosis, tuberculous meningi tis and hydrocephalus was successfully treated with chemotherapy and ventri culoperitoneal shunting, but re-presented 7 months later with an intraventr icular haemorrhage secondary to a ruptured left posterior inferior cerebell ar artery mycotic aneurysm. The aneurysm was successfully treated by cranio tomy and clipping. Tubereulous mycotic intracranial aneurysms are rare, but they should be considered in patients with tuberculous meningitis, particu larly when there is a rapid neurological deterioration which may represent rupture.