Description

The British Medical Research Council (BMRC) distinguishes 3 clinical stages of tuberculous meningitis.


Parameters:

(1) level of consciousness

(2) focal neurological deficits

(3) other (meningismus, seizure activity)

 

Level of Consciousness

Focal Neurological Deficits

Other Findings

Stage

normal

none

none

I

lethargy

minor (cranial nerve palsy)

altered behavior, meningismus

II

stupor or coma

major (hemiparesis)

seizures, abnormal movements

III

 

Alternatively (Thao et al)

 

Glasgow Coma Scale

Focal Neurological Signs

Stage

15

none

I

15

any

II

11 to 14

NA

II

<= 10

NA

III

 

 

Stage

Mortality Rate (1948)

Risk

I

< 10%

low

II

4 - 55%

moderate

III

37 - 87%

high

 


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