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Unusual presentation of more common disease/injury
Tryst and treatment of an unusual case of MDR CNS tuberculosis
  1. Anoop Kohli1,
  2. Nadeem Israr Khan2,
  3. Omkar Prasad Choudhury2,
  4. Jignesh Ramji Lodhari2
  1. 1Department of Neurology, Apollo Hospital, New Delhi, Delhi, India
  2. 2Department of Neurology, Apollo Indraprastha Hospital, New Delhi, India
  1. Correspondence to Dr Anoop Kohli, anoopkohli009{at}


A case of multidrug resistance central nervous system tuberculosis is described. During the initial 6 months of therapy, intracranial embolic spread of tuberculomas from exudates around the proximal left middle cerebral artery was seen. This phenomenon was reported earlier. Further management, therapeutic considerations, particularly with secondary and tertiary line of antitubercular medication and neuroimaging are discussed.

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  • Competing interests None.

  • Patient consent Obtained.

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