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MENINGITIS TUBERCULOSIS - Coggle Diagram
MENINGITIS TUBERCULOSIS
TB pulmo menyebar extrapulmonal hematogenous to CNS --> crossing BBB
gejala TB pulmo: demam mengigil, turun BB, batuk kronis (+)
Gene Xpert, AFB, BTA (+)
CSF lymphocyte dom, protein rise, glucose decr
membentuk granuloma "rich focus" di meninges atau parenkim -> ruptur subarachnoid
imun seluler activated -> TNF-α dan IFN-γ
eksudat kental gelatinosa di basal cistern (suprasellar, propontine, dan interpeduncular)
basilar enhancement pada imaging
gangguan flow CSF -> ICP meningkat
hydrocephalus, muntah proyektil, headache
vaskulitis & penyempitan lumen
menekan CN -> CN paralysis
BASAL MENINGES INFLAMM
Peningkatan ICP karena permeabilitas (vasogenic)
nosiseptor activation (inflammation and ICP)
headache, kaku kuduk, meningeal sign (+)
neurotransmitter Glutamat & GABA imbalance (more excitability cortical aka Glutamate)
Kejang
Near or at PARENCHYMA inflammation (might cause encephalitis if imaging support)
encephalitis kena korteks serebri ada defisit neurologis fokal, gangguan perilaku, penurunan kesadaran