A Case of Cortical Venous Thombosis Secondary to Tuberculous Meningitis.

Abstract

A male patient in his 20s presented with new-onset seizures. Computed tomography head plain was normal. However, in view of persistent occipital headache, magnetic resonance imaging brain with magnetic resonance venogram scan was done which showed left lateral sinus thrombosis. The patient developed fever spikes after admission. Hence, cerebrospinal fluid analysis was sent which was suggestive of a tuberculous etiology. The patient was started on intravenous steroids and antitubercular treatment along with low-molecular-weight heparin. The patient's general condition improved significantly following which the patient was discharged with antitubercular medications, newer oral anticoagulants, and a tapering dose of steroids. To the best of our knowledge, only few case reports have been documented in relation to tuberculous meningitis presenting as cortical venous thrombosis.