Sequential Computerized Axial Tomography in Tuberculous Meningitis

Abstract
RECENT reports have stressed the value of computerized axial tomography (CAT) of the head in the evaluation of space occupying intracranial lesions including brain abscesses.2 We recently treated a patient with tuberculous meningitis in whom CAT scanning showed two complications, tuberculoma formation and hydrocephalus. Report of a Case A 32-year-old man was admitted to the hospital on Feb 24, 1976, with a five-day history of headache and insomnia, followed by progressive lethargy and incoordination. A chest roentgenogram showed numerous nodular densities throughout both lungs, and a spinal fluid examination showed a polymorphonuclear leukocyte count of 6/cu mm. Findings of the remainder of the examination were normal, and ampicillin sodium and gentamicin sulfate therapy was started for presumed diazepam intoxication with aspiration pneumonia. Because of progressive deterioration of his clinical status, he was transferred to Brooke Army Medical Center on Feb 28, 1976, nine days after the onset of his