Table 2. Data collection for infarcts in tuberculous meningitis.
Subject | Data collected |
---|---|
Brain imaging modality | • Non-contrast CT
• Contrast-enhanced CT • MRI without contrast • MRI with contrast |
Timing of scan | • Admission/baseline
• Clinical indication • Follow–up: two to three months after initiation of treatment |
Type of infarct * | • Ischaemic
• Haemorrhagic • Ischaemic with haemorrhagic transformation |
Changes since prior
brain imaging * |
• New infarct identified?
• Evolution of prior infarct? |
Number of infarcts | • Solitary
• Multifocal |
In case of multifocality * | • Bilateral
• In more than one vascular territory • In anterior and posterior circulation territories |
Vascular territories * | • Middle cerebral artery
• Anterior cerebral artery • Posterior cerebral artery • Cerebellar arteries • Vertebrobasilar perforators • Lenticulostriate perforators • Borderzone territory between two vascular territories (watershed infarcts) |
Location * | • Basal ganglia
• Thalamus • Internal capsule • Brainstem • Cerebellum • Subcortical white matter • Cerebral cortex |
Size of infarct * | • Lacunar infarcts
**
• Infarct involving >1/3 of the middle cerebral or other large artery territory • Small punctate infarcts • Combination of lacunar infarcts with larger areas of infarction |
Evaluation of blood
vessels |
• Modality used: CT angiography, MR angiography or
conventional angiography • Location of each vessel occlusion, narrowing or absence. |
* More than one response allowed.
** Small subcortical infarct up to 20mm in diameter found in territories of deep penetrating arteries including basal ganglia, internal capsule, thalamus, brainstem, and corona radiata, thought to result from occlusion of a single perforating artery.
CT, computed tomography; MRI, magnetic resonance imaging.