Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2010-7-30
pubmed:abstractText
Mortality and serious long-term sequelae still occur in about 50% of patients with tuberculous meningitis. The frequency and the clinical features of neurological and systemic complications were determined in a retrospective review of 104 patients with tuberculous meningitis. Complications occurred in 81 patients (78%). The most common complications were: hyponatraemia 49%, hydrocephalus 42%, stroke 33%, cranial nerve palsies 29%, epileptic seizures 28%, diabetes insipidus 6%, tuberculoma 3%, myeloradiculopathy 3% and hypothalamic syndrome 3%. The most common iatrogenic complication was hepatotoxicity related to anti-tuberculosis treatment in seven patients. Twenty-three patients (22%) died. At last follow-up one patient (1%) remained in a persistent vegetative state, 14 patients (13%) had severe disability and 12 patients (12%) were moderately disabled. The most common complications in the 81 long-term survivors were cognitive impairment (12%) and epilepsy (11%). Neurological and systemic complications of tuberculous meningitis were common and were important causes of mortality and long-term morbidity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1532-2653
pubmed:author
pubmed:copyrightInfo
Copyright 2010 Elsevier Ltd. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1114-8
pubmed:meshHeading
pubmed-meshheading:20605462-Adolescent, pubmed-meshheading:20605462-Adult, pubmed-meshheading:20605462-Aged, pubmed-meshheading:20605462-Aged, 80 and over, pubmed-meshheading:20605462-Antitubercular Agents, pubmed-meshheading:20605462-Child, pubmed-meshheading:20605462-Child, Preschool, pubmed-meshheading:20605462-Female, pubmed-meshheading:20605462-Follow-Up Studies, pubmed-meshheading:20605462-Hospitals, Urban, pubmed-meshheading:20605462-Humans, pubmed-meshheading:20605462-Hydrocephalus, pubmed-meshheading:20605462-Hyponatremia, pubmed-meshheading:20605462-Infant, pubmed-meshheading:20605462-Male, pubmed-meshheading:20605462-Middle Aged, pubmed-meshheading:20605462-Nervous System Diseases, pubmed-meshheading:20605462-New Zealand, pubmed-meshheading:20605462-Retrospective Studies, pubmed-meshheading:20605462-Stroke, pubmed-meshheading:20605462-Tuberculosis, Meningeal, pubmed-meshheading:20605462-Young Adult
pubmed:year
2010
pubmed:articleTitle
Neurological and systemic complications of tuberculous meningitis and its treatment at Auckland City Hospital, New Zealand.
pubmed:affiliation
Department of Neurology, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand. neila@adhb.govt.nz
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't