{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:26:45Z","timestamp":1786728405110,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Tuberculous meningitis causes substantial morbidity and mortality in tropical countries. The various complications reported are hydrocephalus, vasculitic infarcts, tuberculomas, abscesses, and optochiasmatic arachnoiditis. Vasculitis in tuberculosis is basically at the level of lenticulostriate arteries supplying the basal ganglia and terminal cortical branches. In this case report, we present a rare case of tuberculous meningitis with extensive vasculopathy. During hospitalization, she developed acute onset right-sided classical hemiplegia with the inability to speak due to left internal carotid artery occlusion on imaging. The cerebrospinal fluid depicted very high protein levels. The exact pathogenesis of such extensive involvement in tuberculous meningitis substantiates the need for further studies.<\/jats:p>","DOI":"10.4103\/jgid.jgid_24_23","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T01:00:19Z","timestamp":1701306019000},"page":"169-171","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Extensive Vasculitis in Tuberculous Meningitis"],"prefix":"10.4103","volume":"15","author":[{"given":"Rajesh","family":"Verma","sequence":"first","affiliation":[{"name":"Department of Neurology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajarshi","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Department of Neurology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,11]]},"reference":[{"key":"R1-20260512","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1136\/jnnp-2013-307178","article-title":"Cerebral infarction and tuberculoma in central nervous system tuberculosis: Frequency and prognostic implications","volume":"85","author":"Wasay","year":"2014","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R2-20260512","doi-asserted-by":"crossref","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":"R3-20260512","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/0022-510X(95)00334-X","article-title":"Prognosis of tuberculous meningitis: A multivariate analysis","volume":"137","author":"Misra","year":"1996","journal-title":"J Neurol Sci"},{"key":"R4-20260512","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/S0033-8389(22)00617-0","article-title":"CT scans of cranial tuberculosis","volume":"33","author":"de Castro","year":"1995","journal-title":"Radiol Clin North Am"},{"key":"R5-20260512","doi-asserted-by":"crossref","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":"R7-20260512","first-page":"577","article-title":"Further observations of the fine structure of blood vessels in neurotuberculosis: possible significance of vasculitis with proliferated basement membrane","volume":"20","author":"Dastur","year":"1978","journal-title":"Adv Neurol"},{"key":"R8-20260512","first-page":"509707","article-title":"Vasospasm in cerebral inflammation","volume":"2014","author":"Eisenhut","year":"2014","journal-title":"Int J Inflam"},{"key":"R9-20260512","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1093\/qjmed\/94.5.247","article-title":"Cerebral infarction in chronic meningitis: A comparison of tuberculous meningitis and cryptococcal meningitis","volume":"94","author":"Lan","year":"2001","journal-title":"QJM"},{"key":"R10-20260512","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jns.2014.03.025","article-title":"Paradoxical reaction in HIV negative tuberculous meningitis","volume":"340","author":"Garg","year":"2014","journal-title":"J Neurol Sci"}],"container-title":["Journal of Global Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jgid.jgid_24_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:26:38Z","timestamp":1786724798000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jgid.jgid_24_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,11]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jgid.jgid_24_23","relation":{},"ISSN":["0974-777X","0974-8245"],"issn-type":[{"value":"0974-777X","type":"print"},{"value":"0974-8245","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,11]]},"assertion":[{"value":"2023-02-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}