TB meningitis

Last reviewed 01/2018

  • in tuberculosis central nervous system involvement is most commonly seen as (1) :
    • meningitis
    • tuberculomas
  • tuberculous meningitis
    • is caused by blood-borne spread of the M. tuberculosis to the brain.
    • it is usually seen following the primary infection (2)
    • sometimes it is part of widespread milliary tuberulosis (2)
    • around 100 cases of Tuberculous meningitis occur each year in England and Wales.
      • is not often seen in the UK outside of the immigrant population.
    • it is important to think of tuberculous meningitis in immune suppressed patients.