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Published in: Clinical Neuroradiology 2/2020

01-06-2020 | Angiography | Original Article

Intracranial Artery Injury in HIV-negative Tuberculous Meningitis

A High-Resolution Vessel Wall Imaging Study

Authors: Tingting Lu, Yan Zou, Ting Jiang, Yu Yang, Aimin Wu, Hongbing Chen, Zhuang Kang, Xinqing Lin, Yimin Fang, Zhengqi Lu

Published in: Clinical Neuroradiology | Issue 2/2020

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Abstract

Purpose

The features of intracranial arterial injury in tuberculous meningitis (TBM) are of important diagnostic and prognostic value. The study aimed to elucidate the high-resolution vessel wall imaging (HR-VWI) manifestations of intracranial arterial insults in TBM.

Methods

The clinical data, routine cranial magnetic resonance imaging, magnetic resonance angiography (MRA) and HR-VWI before and after contrast enhancement of intracranial arteries in clinically diagnosed TBM patients were retrospectively analyzed.

Results

In this study 27 TBM patients were included. Abnormalities in the intracranial arteries were detected in all patients using HR-VWI. Typical vessel insults included nodular or granular lesions, related thickness and prominent enhancement in the wall, and lumen narrowing or occlusion. The most frequently involved arteries were the C4 segment of the internal carotid artery and the P1 segment of the posterior cerebral artery. The lesions were consistent with disease stage and disease duration and correlated with infarction.

Conclusion

The use of HR-VWI revealed that cerebral artery involvement in patients with TBM is much more common and extensive than in previous radiological reports. The use of HR-VWI improves recognition of arterial pathologies and has diagnostic value in patients with TBM.
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Metadata
Title
Intracranial Artery Injury in HIV-negative Tuberculous Meningitis
A High-Resolution Vessel Wall Imaging Study
Authors
Tingting Lu
Yan Zou
Ting Jiang
Yu Yang
Aimin Wu
Hongbing Chen
Zhuang Kang
Xinqing Lin
Yimin Fang
Zhengqi Lu
Publication date
01-06-2020
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 2/2020
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-019-00766-4

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