Sténoses artérielles intra-crâniennes : penser à l'artérite cérébrale tuberculeuse

Although cerebrovascular complications of tuberculous meningitis are common, tuberculous arteritis is a rare cause of stroke. Its detection may be difficult because of the possible lack of obvious infectious signs. We report the case of a 34-year-old Indian man whose cerebral tuberculosis was proved three years after the first cerebral event, on the base of arterial intracranial stenoses without any atheroma risk factor, enhancement of the arachnoid on magnetic resonance imaging, and presence of epithelioid and giant cell granuloma in a mediastinal adenopathy.