Abstract
Bangladesh has the highest prevalence of tuberculosis (TB). Of these, tubercular meningitis is the most common and most devastating. The usual course is that of insidious onset and subacute progression. Adults with TBM often present with the classic meningitis symptoms of fever, headache, and meningismus (stiff neck) along with focal neurological deficits, behavioral changes, and alterations in consciousness. TBM is prone to rapid deterioration once meningeal symptoms and focal neurological signs supervene, leading to stupor, coma, and death within 5 to 8 weeks [1,2].
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