A Rare Complication of Tuberculosis: Acute Paraplegia.

Clicks: 318
ID: 74134
2016
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Abstract
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.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.Tuberculous radiculomyelitis is a complication of TBM. It is rarely seen.
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aydin2016aethiopian Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Aydın, Teoman;Taşpınar, Özgür;Keskin, Yasar;Kepekçi, Müge;Güneşer, Meryem;Çamlı, Adil;Seyithanoğlu, Hakan;Kızıltan, Huriye;Eriş, Ali Hikmet;
Journal ethiopian journal of health sciences
Year 2016
DOI
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URL URL not found
Keywords
tuberculosis paraplegia tuberculous radiculomyelitis

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