Strategic infarct dementia in a patient with tuberculous meningitis ? a case report

Ischemic strokes secondary to tuberculous arteritis is a common complication of tuberculous meningitis. However strategic cerebral infarcts presenting with a dementia in patients with tuberculous meningitis is uncommon. We report a case of a 59 year old priest with tuberculous meningitis presenting with dementia secondary to strategic infarcts in the right thalamus and medial temporal lobe. The patient was treated with of corticosteroids and aspirin along with the regular anti-tubercular therapy and had a good clinical response.