[Arachnoiditis and intraspinal lesion. Complications of tuberculous meningitis in 2 patients with human immunodeficiency virus infection].
Radiculomyelitis (arachnoiditis) (RMA) is a severe complication of tuberculous meningitis (TM). Two patients with HIV infection and TM are here reported. These patients developed RMA. In Spain only four cases of RMA have previously been reported (only one of them was HIV-positive). Clinical manifestations (subacute paraplegia, radicular pain, sensitive level and neurogenic bladder) are reported. Cerebrospinal fluid had inflammatory features, wit predominance of mononuclear cells and remarkable increase in protein content. Magnetic resonance imaging (MRI) is the most suitable diagnostic method. The therapeutic possibilities of this complication are discussed.
Eroles Vega
G
G
Servicio de Medicina Interna, Hospital Severo Ochoa, Avenida de Orellana, s/n. 28911 Leganés, Madrid.
Castro Vilanova
M D
MD
Mendivil Ferrer
M
M
Gómez Rodrigo
J
J
Lacambra Calvet
C
C
Ruiz-Capillas
J J
JJ
Quiñones
D
D
D000328:Adult; D001100:Arachnoiditis / Q000382:microbiology*; D002574:Cervical Vertebrae; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D013118:Spinal Cord Diseases / Q000382:microbiology*; D013904:Thoracic Vertebrae; D014390:Tuberculosis, Meningeal / Q000150:complications*