{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T07:10:59Z","timestamp":1719040259504},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:p>Central nervous system tuberculosis accounts for approximately 1\u20132% of cases but with a high morbidity and mortality burden. A 37-year-old female presented with fever and headache for 15 days followed by altered sensorium with associated dystonic posturing of both upper limbs and lower limbs (left&gt;right side). The patient\u2019s condition deteriorated despite optimal antitubercular treatment and other supportive measures for two weeks. An MRI brain was suggestive of areas of diffusion restriction in the right caudate nucleus, anterior limb of internal capsule, genu, and anteromedial thalamus. The patient ultimately succumbed to death. Tubercular zone infarctions carry an ominous prognosis and can be considered an indicator of morbidity and mortality in patients with tuberculous meningitis (TBM).<\/jats:p>","DOI":"10.25259\/jnrp_476_2023","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T06:44:35Z","timestamp":1704437075000},"page":"370-372","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Revisiting the tubercular zone: A poor prognostic finding on neuroimaging"],"prefix":"10.25259","volume":"15","author":[{"given":"Himanshu","family":"Kaushal","sequence":"first","affiliation":[{"name":"Department of Neurology, Mahatma Gandhi Medical College and Hospital, RIICO Institutional Area, Jaipur, Rajasthan, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gourav","family":"Goyal","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mahatma Gandhi Medical College and Hospital, RIICO Institutional Area, Jaipur, Rajasthan, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"10.25259\/JNRP_476_2023\/ref-1","doi-asserted-by":"publisher","first-page":"e20","DOI":"10.1016\/S2666-5247(22)00359-7","article-title":"WHO's global tuberculosis report 2022","volume":"4","author":"Bagcchi","year":"2023","journal-title":"Lancet Microbe"},{"key":"10.25259\/JNRP_476_2023\/ref-2","doi-asserted-by":"publisher","first-page":"2108","DOI":"10.3389\/fimmu.2018.02108","article-title":"The pathogenesis of tuberculosis: The early infiltrate of post-primary (Adult Pulmonary) tuberculosis: A distinct disease entity","volume":"9","author":"Hunter","year":"2018","journal-title":"Front Immunol"},{"key":"10.25259\/JNRP_476_2023\/ref-3","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1128\/CMR.00042-07","article-title":"Central nervous system tuberculosis: Pathogenesis and clinical aspects","volume":"21","author":"Rock","year":"2008","journal-title":"Clin Microbiol Rev"},{"key":"10.25259\/JNRP_476_2023\/ref-4","doi-asserted-by":"publisher","first-page":"38802","DOI":"10.1038\/srep38802","article-title":"Cerebral infarction pattern in tuberculous meningitis","volume":"6","author":"Tai","year":"2016","journal-title":"Sci Rep"},{"key":"10.25259\/JNRP_476_2023\/ref-5","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1007\/BF00596334","article-title":"Locations of cerebral infarctions in tuberculous meningitis","volume":"34","author":"Hsieh","year":"1992","journal-title":"Neuroradiology"},{"key":"10.25259\/JNRP_476_2023\/ref-6","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.jns.2010.12.015","article-title":"Stroke in tuberculous meningitis","volume":"303","author":"Misra","year":"2011","journal-title":"J Neurol Sci"},{"key":"10.25259\/JNRP_476_2023\/ref-7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/1971400919881188","article-title":"Cerebrovascular complications in tuberculous meningitis-a magnetic resonance imaging study in 90 patients from a tertiary care hospital","volume":"33","author":"Soni","year":"2020","journal-title":"Neuroradiol J"},{"key":"10.25259\/JNRP_476_2023\/ref-8","doi-asserted-by":"publisher","first-page":"e2229282","DOI":"10.1001\/jamanetworkopen.2022.29282","article-title":"Global frequency and clinical features of stroke in patients with tuberculous meningitis: A systematic review","volume":"5","author":"Sy","year":"2022","journal-title":"JAMA Netw Open"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ruralneuropractice.com\/revisiting-the-tubercular-zone-a-poor-prognostic-finding-on-neuroimaging\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ruralneuropractice.com\/revisiting-the-tubercular-zone-a-poor-prognostic-finding-on-neuroimaging\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T08:32:02Z","timestamp":1715070722000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/revisiting-the-tubercular-zone-a-poor-prognostic-finding-on-neuroimaging\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,5]]},"references-count":8,"alternative-id":["10.25259\/JNRP_476_2023"],"URL":"https:\/\/doi.org\/10.25259\/jnrp_476_2023","relation":{},"ISSN":["0976-3155","0976-3147"],"issn-type":[{"value":"0976-3155","type":"electronic"},{"value":"0976-3147","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1,5]]},"article-number":"370"}}