Contrast-enhanced MR imaging of tuberculous pachymeningitis cranialis hypertrophica: case report.

Over the past 30 years, sequelae and mortality due to tuberculous meningitis have failed to decrease [1] . The most likely explanation is that the diagnosis of tuberculous meningitis is generally made on the basis of clinical and CSF findings, which come late in the course of the disease. In some cases, however, and especially in pachymeningeal forms with atypical clinical features , neuroradiologic investigations can be very useful in early diagnosis of this disease, as the present case demonstrates.