Journal of neurosurgery
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Journal of neurosurgery · Aug 1995
Review Case ReportsParadoxical progression of tuberculous lesions during chemotherapy of central nervous system tuberculosis. Report of four cases.
The peculiar phenomenon of paradoxical progression during the treatment of central nervous system tuberculosis is discussed. A few cases with this phenomenon were reported in the past, and the authors have treated four such cases. ⋯ All four patients underwent ventriculoperitoneal shunt insertion during the course of treatment. The authors discuss the significance of the changes in the lesions and management of such cases, and review the literature.