fig1

Figure 1. Tuberculous meningitis with arteritis leading to malignant middle cerebral artery (MCA) infartion. Gadolinium enhanced axial T1-weighted magnetic resonance images shows (a) enhancing leptomeningeal exudates with subcortical, juxta cortical and cortical granulomata in the right posterior parietooccipital region; (b) fronto-parietal cortical granuloma with leptomeningeal enhancement; (c) Frontotemporo-parieto-occipital cortical, juxta cortical granuloma with leptomeningeal enhancement. (d) contrast enhanced computerized tomography (CT) axial image shows malignant infarct involving the entire right MCA territory with compression of the right lateral ventricle and midline shift to the left side. One and three marked regions in CT represent basal ganglionic region and two represent temporo occipital region with no significant hemorrhagic component