PATHOLOGICAL EFFECTS Cerebral Parenchyma Tuberculous meningoencephalitis swelling and hyperemia of the parenchyma contribute to the intracranial hypertension, the en ischemia of parenchyma occur, finally lead to the foci of encephalomalacia and necrosis Hemiplegia may be present because of this change o Meninges, spinal, and spinal nerve root also involvement. The later al ways leads to paraplegina7 PATHOLOGICAL EFFECTS Cerebral Parenchyma Tuberculous meningoencephalitis ◆ swelling and hyperemia of the parenchyma contribute to the intracranial hypertension, then ischemia of parenchyma occur, finally lead to the foci of encephalomalacia and necrosis. Hemiplegia may be present because of this change. ◆ Meninges, spinal, and spinal nerve root also involvement. The later always leads to paraplegina