Tuberculous radiculomyelitis (arachnoiditis) associated with tuberculous meningitis.
Abstract. A 17-year-old man who presented with progressive quadriparesis is reported. About 8 months prior to admission, he had miliary tuberculosis, and that improved with anti-tuberculous therapy. He had also developed tuberculous meningitis and tuberculous myelitis, respectively. He regularly took anti-tuberculous drugs until this illness. Neurological findings were compatible with cervical cord lesion. CSF analysis indicated a predominate lymphocytic pleocytosis with a high protein level and low sugar profile. MRI findings revealed a multi-loculated arachnoid cyst at C1-C3 level with pressure affecting the adjacent spinal cord and evidence of myelitis at C3-T1 level. Hemi-larminectomy and removal of the arachnoid cyst were performed, but without improvement. A CSF culture yielded M. tuberculosis, that was susceptible to anti-tuberculous drugs.
Chotmongkol
Verajit
V
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Kitkuandee
Amnaj
A
Limpawattana
Panita
P
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D016080:Arachnoid Cysts / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001100:Arachnoiditis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D018450:Disease Progression; D004352:Drug Resistance, Microbial; D006801:Humans; D007796:Laminectomy; D008297:Male; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000302:isolation & purification; D011782:Quadriplegia / Q000209:etiology; D011859:Radiography; D016896:Treatment Outcome; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents