Excerpt from The Cleveland Medical Journal, 1912, Vol. 11
Spinal fluid, instead of leukocytes as in purulent meningitis, and the presence of the tubercle bacilli in the cerebrospinal fluid. Beside-s the usual form of the tuberculous meningitis, we may have the miliary form and the tuberculosis en plaque of the meninges. The former is usually part of a general miliary tuber culosis and the meningeal symptoms may be only slight and are obscured by the general condition; tubercles on the choroid are suggestive of it. The so - called meningitis en plaque is a local ized form and rather rare. It is usually diagnosed as brain tumor which, in fact, it is, being a tuberculoma of the meninges. The occurrence of the brain tumor syndrome in a tuberculous indi vidual, reacting to tuberculin, or giving the Calmette or von Pirquet reaction, may suggest the diagnosis.
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