Clinical and imaging features of miliary tuberculosis meningoencephalitis(report of 2 cases)

Objective To investigate the clinical and imaging features of miliary tuberculosis meningoencephalitis.Methods The clinical data of 2 patients with miliary tuberculosis meningoencephalitis were analyzed retrospectively.Results There was one male patient and one female patient in this group,the onset age was 45 and 76 years old respectively,and the tuberculosis course was 1-5 years.The main clinical manifestations were fever and headache with acute onset and active pulmonary tuberculosis,and 1 case also complicated with thoracic spine tuberculosis.MRI examination showed some miliary tuberculosis lesions with similar size at the meningeal and intraparenchymal,and the lesions were enhanced with the enhanced scanning.After the anti-tuberculosis treatment for 1 month,the reexamination of MRI showed that the lesions were disappeared.Conclusions Patients with miliary tuberculosis meningoencephalitis are usually with active tuberculosis.MRI examination showed some miliary tuberculosis lesions intracranial and the lesions enhanced with the enhanced scanning is the characteristic imaging manifestation.The anti-tuberculosis treatment is effective.