Open AccessCerebral tubercular thrombophlebitis presenting as venous infarct: Magnetic resonance imaging and pathologic correlation
Author(s) -
Sandhya Mangalore,
Sunali Desai,
Anita Mahadevan,
J.M.E. Kovoor,
M.K. Vasudev,
Arun Bhagwandas Tally,
Susarla Krishna Shankar
Publication year - 2014
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.128587
Subject(s) - medicine , thrombophlebitis , magnetic resonance imaging , radiology , pathology , infarction , pathological , hyperintensity , thrombosis , surgery , cardiology , myocardial infarction
Central nervous system involvement by tuberculosis to produce basal meningitis, hydrocephalus, arteritis and infarcts is well-known, the brunt of the pathology being borne by the arterial vasculature to produce neurological sequelae. However, tuberculous thrombophlebitis causing venous infarction is exceedingly rare. We present imaging and pathological features of two autopsy proven cases of tuberculous thrombophlebitis with venous infarcts involving superficial venous system in one and deep venous system in the other. This is the first study presenting radiopathologic correlation of this rare complication. Tuberculous thrombophlebitis should be suspected if basal exudates and multiple white matter T2 hyperintensities are seen on neuroimaging and the imaging protocol should include both magnetic resonance arteriogram and venogram.