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Tuberculous Spinal Meningitis: A Treatable Cause of Myeloradiculopathy

Pandit, Lekha DM*; Agrawal, Amit MCh†; Mudgal, Soumiya MD*; Achar, Praveen MD‡

Infectious Diseases in Clinical Practice: July 2009 - Volume 17 - Issue 4 - pp 281-282
doi: 10.1097/IPC.0b013e3181934352
Case Reports

Tuberculous meningitis can present with varied clinical features and a rare sequel of tuberculous meningitis includes spinal arachnoiditis. We report 2 such cases which presented in Human immunodeficiency virus-negative individuals, who had no extra central nervous system manifestations of tuberculosis. Magnetic resonance imaging with contrast plays a vital role in the diagnosis of this entity. Diagnosis of these lesions requires high index of suspicion as early treatment with antitubercular drugs may result in recovery of neurological functions.

From the *Department of Neurology, KS Hegde Medical Academy, Mangalore, Karnataka; †Department of Neurosurgery, Datta Meghe Institute of Health Sciences, Sawangi (Meghe); and ‡Institute of Magnetic Resonance Imaging, Mangalore, Karnataka, India.

Reprints: Amit Agrawal, MCh, Division of Neurosurgery, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha 442004, Maharashtra, India. E-mail: dramitagrawal@gmail.com.

© 2009 Lippincott Williams & Wilkins, Inc.