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Cureus. 2018 Jun 27;10(6):e2889. doi: 10.7759/cureus.2889.

Conduction Aphasia as Initial Manifestation of Tuberculous Meningitis.

Cureus

Miguel A Garcia-Grimshaw, Francisco A Gutierrez-Manjarrez, Alejandra Gonzalez-Duarte

Affiliations

  1. Internal Medicine, Hospital General De Tijuana, Tijuana, MEX.
  2. Neurology, Hospital General De Tijuana, Tijuana, MEX.
  3. Neurology, Instituto Nacional De, Mexico City, MEX.

PMID: 30159215 PMCID: PMC6110626 DOI: 10.7759/cureus.2889

Abstract

Conduction aphasia being the arcuate fasciculus of the site of structural injury is a speech disorder characterized by fluent, spontaneous speech and paraphasias, intact auditory comprehension, and limited repetition. One of the causes of stroke in young adults is the Mycobacterium tuberculosis (MTB) infection, which may cause cerebral ischemia secondary to artery obliteration. In this case report, we present a previously healthy 24-year-old woman that presented with a sudden onset of aphasia; MTB was identified as the etiological agent. Tuberculous meningitis (TBM) has a wide range of clinical manifestations with aphasia being one of the rarest forms of initial presentation.

Keywords: aphasia; conduction aphasia; mycobacterium tuberculosis; stroke; tuberculous meningitis

Conflict of interest statement

The authors have declared that no competing interests exist.

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