PT  - JOURNAL ARTICLE
AU  - Apeksha M Shah
AU  - Dominika Raciborska
AU  - Matthew Stevens
AU  - Sharmilee Gnanapavan
AU  - Veronica L C White
AU  - Benjamin Turner
TI  - Tuberculous tales: an East London experience
AID  - 10.1136/practneurol-2017-001653
DP  - 2017 Aug 16
TA  - Practical Neurology
PG  - practneurol-2017-001653
4099  - http://pn.bmj.com/content/early/2017/08/16/practneurol-2017-001653.short
4100  - http://pn.bmj.com/content/early/2017/08/16/practneurol-2017-001653.full
AB  - Tuberculous meningitis presents a diagnostic and therapeutic challenge, and considering its long history and increasing global incidence, the evidence base for its treatment is relatively scanty. Many UK neurologists will have little first-hand experience of this deadly condition, and if faced with a patient with possible tuberculous meningitis will find decision making less than straightforward. In parts of East London (UK) the rates of tuberculosis and tuberculous meningitis are among the highest in Western Europe, and so the neurologists and respiratory physicians at the Royal London Hospital have encountered many such patients over the years. We have found experience to be a valuable teacher and so would like to share five cases that illustrate the complexities of diagnosis and management of the disease, and complications of its treatment.