Transcranial Doppler as a Bedside Evaluation Tool in Tubercular Meningitis: Case Report and Review of Literature

Abstract

Critically ill patients with advanced disease may require frequent close monitoring of cerebral hemodynamics, including intracranial blood flows and pressures. Repetitive evaluations with Magnetic Resonance Imaging (MRI) or Lumbar puncture may be difficult and thus TCD may play an important role in the management of these patients. Here we report a case of TBM with vasculopathy who showed elevated blood flow velocities in the Posterior (PCA), Middle (MCA) and Anterior Cerebral Arteries (ACA). These changes were reversible after treatment with ATT and steroids.