{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:12Z","timestamp":1787016972605,"version":"build-2736575974"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,3,18]]},"abstract":"<jats:p>This is the first reported case of a Chiari 1 malformation in association with tuberculous (TB) meningitis. We present a case of a 23-year-old woman with a 2-week history nocturnal fever, vertigo, headache and projectile vomiting. She had nystagmus, scanning speech, bilateral papilloedema and ataxia. Cranial imaging showed a 10 mm tonsillar herniation. Posterior fossa decompression was done. Because the patient\u2019s gamut of symptoms was highly suspicious for a central nervous system infection, a lumbar tap was done which revealed TB meningitis. Four years later, after anti-TB medications and rehabilitation, all her symptoms except gait instability resolved.<\/jats:p>","DOI":"10.1136\/bcr-2018-224245","type":"journal-article","created":{"date-parts":[[2018,4,5]],"date-time":"2018-04-05T07:25:48Z","timestamp":1522913148000},"page":"bcr-2018-224245","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Chiari malformation and tuberculous meningitis: aetiology and management"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8450-2021","authenticated-orcid":false,"given":"Jose Danilo Bengzon","family":"Diestro","sequence":"first","affiliation":[{"name":"Department of Neurosciences, University of the Philippines\u2014Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesi Ellen Cueto","family":"Bautista","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University of the Philippines\u2014Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"Abdelsimar T","family":"Omar","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University of the Philippines\u2014Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Garcia","family":"Mercado","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University of the Philippines\u2014Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip Asuncion","family":"Ramiro","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University of the Philippines\u2014Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,4,5]]},"reference":[{"key":"2025082707220395000_2018.apr05_1.bcr-2018-224245.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199905000-00042"},{"key":"2025082707220395000_2018.apr05_1.bcr-2018-224245.2","first-page":"1","article-title":"Tuberculous meningitis: diagnosis and treatment overview","volume":"2011","author":"Marx","year":"2011","journal-title":"Tuberc Res Treat"},{"key":"2025082707220395000_2018.apr05_1.bcr-2018-224245.3","doi-asserted-by":"crossref","unstructured":"Saranza G , Sumalapao D , Batara J , et al . 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Chiari Malformations. In: Park TS , Ghatan S , RM S , eds. Youmans neurological surgery. 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