title: A Rare Complication of Tuberculosis: Acute Paraplegia.
abstract: BACKGROUND
  Tuberculous radiculomyelitis(TBRM) is one of the complications of neurological tuberculosis and includes cases of arachnoiditis, intradural spinal tuberculoma or granuloma, and spinal cord complications of tuberculous meningitis (TBM). Here, we report a case of TBRM which presented with acute paraplegia.
  
  
  METHODS
  Neurological examination on admission revealed flaccid paralysis, bilateral extensor plantar responses, and exaggerated deep tendon reflexes. Cerebrospinal fluid analysis showed xanthochromic fluid that contained 600 cells/mm3, 98% lymphocytes, protein 318 mg/dl and glucose 51 mg/dl (blood glucose 118 mg/dl). On thorax CT, calcified lymph nodes that were sequelae of primary tuberculosis infection was detected. Antituberculosis and intravenous corticosteroids treatment was started. Seven weeks from the onset, on-control spinal MRI myelomalacia was determined, and there was no leptomeningeal enhancement. After six weeks of rehabilitation, lower limb total motor score was increased from 0/50 to 15/50.
  
  
  CONCLUSIONS
  Tuberculous radiculomyelitis is a complication of TBM. It is rarely seen.
authors: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Teoman
authors: T
authors: Aydın
authors: Department of Physical Medicine and Rehabilitation, Cınarcik State Hospital, Yalova.
authors: Özgür
authors: Ö
authors: Taşpınar
authors: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Yasar
authors: Y
authors: Keskin
authors: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Müge
authors: M
authors: Kepekçi
authors: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Meryem
authors: M
authors: Güneşer
authors: Department of Internal Medicine, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Adil
authors: A
authors: Çamlı
authors: Department of Neurosurgery, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Hakan
authors: H
authors: Seyithanoğlu
authors: Department of Radiation Oncology, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Huriye
authors: H
authors: Kızıltan
authors: Department of Radiation Oncology, Faculty of Medicine, Bezmi Alem Vakıf University, İstanbul.
authors: Ali Hikmet
authors: AH
authors: Eriş
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008198:Lymph Nodes; D010264:Paraplegia / Q000209:etiology*; D014390:Tuberculosis, Meningeal / Q000134:cerebrospinal fluid / Q000150:complications* / Q000188:drug therapy
chemical_list: D000305:Adrenal Cortex Hormones; D000995:Antitubercular Agents
keywords: Paraplegia; Tuberculosis; Tuberculous radiculomyelitis