DOI: 10.36347/sjmcr.2023.v11i04.042

Pages: 582-584

Introduction: Neuromeningeal tuberculosis in children remains a particularly worrying public health problem in developing countries. The aim of our work is to illustrate and show the essential interest of imaging (CT-MRI) in the positive diagnosis and follow-up of this pathology. Materiel and Methods: This is a retrospective study of a series of 20 cases of neuromeningeal tuberculosis, collected in the Department of Pediatrics A and Radiology of the Mother and Child Hospital of the Mohammed VI University Hospital Center of Marrakech over a period of 7 years (2012-2017). Brain CT was performed in all patients and brain MRI in 5 patients. Results: The average age of our patients was 5 years and 9 months and 40% were aged between 1 and 5 years, with a female predominance, Sex-ratio of 0.6. Fever and vomiting were the most frequent signs. Disturbances of consciousness were found in 86.6%. Brain CT was pathological in 93.3% of cases, with hydrocephalus (55%), meningitis (20%), tuberculomas (15%), spontaneous hyperdensity of the basal cisterns (14.2%). Brain MRI was pathological in all patients, with quadri-ventricular hydrocephalus and cortico- subcortical atrophy (40%). Conclusion: Neuromeningeal localization in children remains, in Morocco, a frequent and serious condition especially in infants, hence the need for early diagnosis and management. The interest of brain imaging in the diagnosis of tuberculosis is certain, since it allows the identification of lesions and complications that are sometimes asymptomatic.