A patient with TB meningitis develops bilateral sixth cranial nerve palsies and hydrocephalus on CT brain. What is the underlying pathological process...

Question

A patient with TB meningitis develops bilateral sixth cranial nerve palsies and hydrocephalus on CT brain. What is the underlying pathological process causing these complications?

Accepted Answer

Thick basal meningeal exudate causing inflammation around basal cisterns, cranial nerve entrapment, and obstruction of CSF flow leading to communicating hydrocephalus

Answer

Direct invasion of cranial nerves by mycobacteria

Answer

Intraparenchymal tuberculoma compressing the fourth ventricle

Answer

Vasospasm of the posterior cerebral arteries

Answer

Autoimmune demyelination triggered by TB antigens

uk-dtmh MCQ (SBA): TB Meningitis Pathology

A patient with TB meningitis develops bilateral sixth cranial nerve palsies and hydrocephalus on CT brain. What is the underlying pathological process causing these complications?