Asymptomatic spinal arachnoiditis in patients with tuberculous meningitis (original) (raw)
Related papers
A rare case of tuberculous spinal arachnoiditis
International Journal of Contemporary Pediatrics
Central nervous system tuberculosis represents approximately 10% of extra pulmonary tuberculosis. However, spinal tuberculous arachnoiditis is a rare complication of CNS tuberculosis that can result in severe peripheral neurological deficit. We are reporting a case of 7-year-old male child of disseminated tuberculosis (pulmonary and spinal arachnoiditis) with nutritional anemia. We aim to illustrate the difficulties in the diagnosis and management of this potentially curable disease by reviewing the literature.
Open Access Macedonian Journal of Medical Sciences, 2019
BACKGROUND: Central nervous system (CNS) tuberculosis (TB) can manifest as meningitis, abscess, tuberculoma or other manifestations. CNS TB is a rare TB complication, and its diagnosis remains a challenge since it has clinical and imaging features that resemble other diseases. Antituberculosis treatment has a significant role in determining a patient’s outcome and prevent complications and mortality. CASE PRESENTATION: Here, we report a case of CNS TB manifested as tuberculoma in immunocompetent patient complicated with spinal arachnoiditis. Despite a treatment delay, the patient still showed clinical improvement after proper treatment with a combination of antituberculosis drug and corticosteroid.CONCLUSION: Central Nervous System Tuberculoma Complicated with Spinal Arachnoiditis in Immunocompetent Patient CNS tuberculoma is a rare CNS TB manifestation, and its diagnosis remain a challenge since its clinical symptoms and radiological findings could mimic other cases such as maligna...
Tuberculosis of the spine and spinal cord
European Journal of Radiology, 2005
Tuberculosis remains an important problem in underdeveloped countries, especially in individuals under the age of 20 years. In developed countries, there was an increase of the disease due to several factors, especially the appearance of A.I.D.S. The arterial haematogenous seeding is the most important way to the propagation of the disease to the rachis. The bacillus mycobacterium tuberculosis is characterized by a slow growth, propention for an oxygen rich environment and the absence of proteolytic enzymes. These characteristics are responsible for the imaging particularities of tuberculous osteomyelitis. The diagnosis can be confirmed by the bacteriologic and histological studies from samples removed by punction biopsy.
Intracranial and Spinal Tuberculosis: A Rare Entity
Cureus, 2021
CNS tuberculosis has a broad spectrum of disease patterns and a high risk of complications and mortality. We present a case of a 36-year-old man who was diagnosed with neurotuberculosis with intracranial and spinal tuberculomas, meningitis, and spondylodiscitis. The patient was a known case of sarcoidosis and was being managed on corticosteroids. His presenting complaints were headache, low-grade fever, severe backache, lower limb weakness, and one episode of altered sensorium. The initial diagnosis was based on imaging findings, which were confirmed with positive cerebrospinal fluid (CSF) culture for Mycobacterium tuberculosis. Imaging and clinicopathological correlation enables early diagnosis and treatment and prevents permanent neurological sequelae.
A Review On: Spinal Cord Infections
2022
This article consists of infections of the vertebral body, intervertebral disc, ligaments and para-vertebral gentle tissues, epidural space, meninges and subarachnoid space, and the spinal cord. A huge variety of infective organisms can be implicated and the incidence of some, drastically tuberculosis, is growing because of multiplied immune compromised and different factors. Imaging performs a key position in early prognosis of those diseases, which can be extreme and probably life-threatening Infection can also additionally be received by the hematogenous route by infection from contiguous systems or from direct inoculation. Of to be had imaging techniques, CT and MRI provide the clinically most valuable strategies of comparing all the systems probably involved in infection. Although many signs are non-specific, indication is given of in which appearances increase strong suspicion of contamination. The quantity of the inflammatory procedure is well evaluated by imaging, particular...
Diffuse meningeal tuberculosis: case report
A infecção do sistema nervoso central pela Mycobacterium tuberculosis (MT), apesar de ser incomum em pacientes imunocompetentes, traz um desafio diagnóstico na medicina moderna. O envolvimento subdural da MT pode simular doenças neoplásicas ou inflamatórias, trazendo influência direta na terapêutica. Os autores apresentam nesse trabalho uma paciente de meia idade com envolvimento atípico do espaço subdural pela MT. Uma biópsia aberta foi realizada e o tratamento padrão para MT do sistema nervoso central foram realizados, com significativa melhora da função motora. Nos países em que a MT tem grande prevalência e incidência, a existência de lesão intracraniana atípica deve sempre ser suspeitada como envolvimento do sistema nervoso central pela MT. Palavras Chave: Tuberculose meníngea, tuberculose subdural, meningioma.