Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings

Otmane Soussi; Khobzy Yousra; Daoud Bentaleb; Dalal Laoudiyi; Kamilia Chbani; Siham Salam

doi:10.5455/CRSM.20260223052620

Case Rep Ser Med. 2026; 3(2): 22-25

doi: 10.5455/CRSM.20260223052620

Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings

Otmane Soussi, Khobzy Yousra, Daoud Bentaleb, Dalal Laoudiyi, Kamilia Chbani, Siham Salam.

Abstract
Introduction:
Tuberculous meningitis is a severe form of central nervous system infection and remains an important cause of neurological morbidity in children. Inflammatory exudates involving the basal cisterns may extend to adjacent intracranial vessels, resulting in arteritis and subsequent ischemic complications.
Case Description:
A 6-year-old girl presented with a one-month history of persistent headache and fever, followed by progressive right-sided weakness and dysarthria. Cerebrospinal fluid analysis showed lymphocytic pleocytosis, elevated protein concentration, and low glucose levels. Brain magnetic resonance imaging demonstrated nodular leptomeningeal enhancement predominantly involving the basal cisterns. Diffusion-weighted imaging showed reduced diffusivity within the left lenticulostriate territory. Associated FLAIR hyperintensity and contrast enhancement were consistent with late subacute infarction. Time-of-flight magnetic resonance angiography demonstrated irregularity of the M1 and M2 segments of the left middle cerebral artery, with attenuation of distal branches, suggestive of inflammatory vasculitis. Based on the clinical, biological, and radiological findings, tuberculous meningitis complicated by secondary vascular involvement was considered the most likely diagnosis.
Discussion:
This case illustrates the value of MRI/MRA in identifying ischemic complications of tuberculous meningitis. Recognition of arterial involvement is essential for appropriate management and may influence neurological outcome.

Key words: Tuberculous meningitis, Cerebral vasculitis, Middle cerebral artery, Lenticulostriate infarction, Pediatric stroke, MRI/MRA, Central nervous system tuberculosis

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Otmane Soussi Articles by Khobzy Yousra Articles by Daoud Bentaleb Articles by Dalal Laoudiyi Articles by Kamilia Chbani Articles by Siham Salam
	on Google
	on Google Scholar

How to Cite this Article

Pubmed Style

Soussi O, Yousra K, Bentaleb D, Laoudiyi D, Chbani K, Salam S. Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. Case Rep Ser Med. 2026; 3(2): 22-25. doi:10.5455/CRSM.20260223052620

Web Style

Soussi O, Yousra K, Bentaleb D, Laoudiyi D, Chbani K, Salam S. Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. https://www.wisdomgale.com/crsm/?mno=311592 [Access: June 07, 2026]. doi:10.5455/CRSM.20260223052620

AMA (American Medical Association) Style

Soussi O, Yousra K, Bentaleb D, Laoudiyi D, Chbani K, Salam S. Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. Case Rep Ser Med. 2026; 3(2): 22-25. doi:10.5455/CRSM.20260223052620

Vancouver/ICMJE Style

Soussi O, Yousra K, Bentaleb D, Laoudiyi D, Chbani K, Salam S. Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. Case Rep Ser Med. (2026), [cited June 07, 2026]; 3(2): 22-25. doi:10.5455/CRSM.20260223052620

Harvard Style

Soussi, O., Yousra, . K., Bentaleb, . D., Laoudiyi, . D., Chbani, . K. & Salam, . S. (2026) Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. Case Rep Ser Med, 3 (2), 22-25. doi:10.5455/CRSM.20260223052620

Turabian Style

Soussi, Otmane, Khobzy Yousra, Daoud Bentaleb, Dalal Laoudiyi, Kamilia Chbani, and Siham Salam. 2026. Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. Case Reports and Series in Medicine, 3 (2), 22-25. doi:10.5455/CRSM.20260223052620

Chicago Style

Soussi, Otmane, Khobzy Yousra, Daoud Bentaleb, Dalal Laoudiyi, Kamilia Chbani, and Siham Salam. "Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings." Case Reports and Series in Medicine 3 (2026), 22-25. doi:10.5455/CRSM.20260223052620

MLA (The Modern Language Association) Style

Soussi, Otmane, Khobzy Yousra, Daoud Bentaleb, Dalal Laoudiyi, Kamilia Chbani, and Siham Salam. "Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings." Case Reports and Series in Medicine 3.2 (2026), 22-25. Print. doi:10.5455/CRSM.20260223052620

APA (American Psychological Association) Style

Soussi, O., Yousra, . K., Bentaleb, . D., Laoudiyi, . D., Chbani, . K. & Salam, . S. (2026) Basal tuberculous meningitis complicated by middle cerebral artery vasculitis and subacute lenticulostriate infarction in a pediatric patient: MRI and TOF-MRA findings. Case Reports and Series in Medicine, 3 (2), 22-25. doi:10.5455/CRSM.20260223052620