A case of bilateral thalamic infarct complicating tuberculous meningoencephalitis

• Published in: The Pan African medical journal Vol. 33; no. 2; p. 2
• Main Authors: Aasfara, Jehanne, Regragui, Wafa, Ouardi, Loubna El, Haddou, El Hachmia Ait Ben, Benomar, Ali, Yahyaoui, Mohammed
• Format: Journal Article
• Language: English
• Published: Uganda African Field Epidemiology Network 2019; The African Field Epidemiology Network; The Pan African Medical Journal
• Subjects: Adolescent; Antitubercular Agents - administration & dosage; bithalamic; Brain Infarction - diagnosis; Brain Infarction - etiology; Case Report; Case reports; Encephalitis; Humans; Inflammation; Male; Medical imaging; Meningitis; meningoencephalitis; Meningoencephalitis - complications; Meningoencephalitis - drug therapy; Meningoencephalitis - microbiology; movement disorders; Prognosis; Stroke; Stroke - diagnosis; Stroke - etiology; Thalamus - pathology; Tuberculosis; Tuberculosis, Meningeal - complications; Tuberculosis, Meningeal - drug therapy; Morocco; bithalamic; Tuberculosis; meningoencephalitis; movement disorders; stroke
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamj.2019.33.2.13327

Ischemic stroke can result from multiple etiologies. It can also be a complication of tuberculous meningoencephalitis and determine its outcome. stroke secondary to tuberculous meningoencephalitis, occurs in 30% cases in the basal ganglia region, unusually in the thalamus. The mechanism of stroke in this condition is vasculitis. We report an unusual case of bilateral thalamic infarcts complicating tuberculous meningoencephalitis. Ischemic stroke in tuberculous meningoencephalitis is unpredictable with poor prognosis despite antituberculous drug treatment, emphasising the importance of primary prevention, particularly in tuberculosis endemic areas.