[Tuberculosis of the Central Nervous System].

Tuberculous meningitis is a condition in which Mycobacterium tuberculosis affects the central nervous system. Although it does not present particularly distinctive symptoms, it often diverges from the classic signs seen in other forms of meningitis. Careful history-taking is essential for suspecting the diagnosis. Genetic testing has become increasingly important in diagnostic methods. Regarding treatment, not all recommendations from international guidelines can be applied domestically. Moving forward, there is a need to establish guidelines for tuberculous meningitis that leverage Japan's strengths.