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It can affect sensory nerves, motor nerves, or autonomic nerves and cause a variety of symptoms and complications. It is estimated that as many as 500 million people in the world suffer from PN [2], and the problem is commonly seen among individuals with tuberculosis (TB) [3].
TB meningitis normally begins with vague, non-specific symptoms of aches and pains, low-grade fever, generally feeling unwell, tired, irritable, not being able to sleep or eat properly, and gradually worsening headache. This lasts for two to eight weeks.
It is important to know that a person who is exposed to TB bacteria is not able to spread the bacteria to other people right away. Only persons with active TB disease can spread TB bacteria to others. Before you would be able to spread TB to others, you would have to breathe in TB bacteria and become infected.
Treatment of Brain Tuberculosis includes anti TB medicines, steroids and decongestant medication. Anti TB medicines include four first-line drugs, isoniazid, rifampin, pyrazinamide, and ethambutol. The duration of treatment is 12 months.
Tuberculosis in the brain is contagious in nature. It usually involves the meninges of brain and spine (membranes surrounding the brain) this severe form of TB called Tuberculous meningitis. Tuberculoma CNS (central nervous system) may occur either in isolation or along with tuberculous meningitis.
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A person must be in close contact with someone with untreated TB disease of the lungs for a long period of time and needs to breathe in TB germs for infection to occur. TB is NOT spread by sharing silverware or cups, or sharing saliva when kissing someone.
The prodromal phase involves several weeks of nonspecific malaise, fever, and headache. The meningitic phase involves worsening headache, nausea, vomiting, and early signs of meningismus. The paralytic phase includes confusion and diminished mental status and sometimes seizures and severe neurological deficits (5).

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