Syringomyelia as a complication of tuberculous meningitis.
Tuberculous meningitis may rarely be followed by the development of syringomyelia despite appropriate chemotherapy. In the present paper, we report a case of tuberculous meningitis in a 23-year-old Vietnamese male complicated by a rapidly progressive myelopathy due to granulomatous arachnoiditis which culminated in the development of a syrinx. The relevant literature is reviewed. The present case supports the hypothesis that vasculitic thrombosis of spinal cord vessels leading to ischemic myelomalacia is the mechanism causing postinflammatory syringomyelia.
Fehlings
M G
MG
Division of Neurosurgery, Toronto Hospital, Ontario, Canada.
Bernstein
M
M
D000328:Adult; D001100:Arachnoiditis / Q000150:complications / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011184:Postoperative Period; D013595:Syringomyelia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000473:pathology / Q000601:surgery