A rare case of tuberculous spinal arachnoiditis

Authors

  • Suman Chaudhary Department of Paediatrics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Ankit Chaurasia Department of Paediatrics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Gunjan Kela Mehrotra Department of Paediatrics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Kewalkishore Arora Department of Paediatrics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Yogesh Patel Department of Paediatrics, SAMC and PGI, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20181557

Keywords:

Arachnoiditis, Spinal, Tuberculous

Abstract

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.

References

Solanki GA. Spinal arachnoiditis, In James D, editor. Palmer manual of neurosurgery. London: Churchill Livingstone; 1996:769-774.

Medonca RA. Spinal infection and inflammatory disorders. In: Atlas SW, editor. MRI of the Brain and Spine. 3rd ed. Philadelphia: Lippincott Williams and Wilkins Publishers; 2002:1855-1969.

Poon TL, WS Ho, Pang KY, Wong CK. Tuberculous meningitis with spinal tuberculous arachnoiditis. Hong Kong Med J. 2003;9:59-61.

Wadia NH, Dastur DK. Spinal meningitides with radiculo-myelopathy: clinical and radiological features. J Neurol Sci. 1969;8:239-60.

Arseni G, Samitca DC. Intraspinal tuberculous granuloma. Brain. 1960;83:285-92.

Kozlowski K. Late spinal blocks after tuberculous meningitis. Am J Roentgenol Radium Therapy Nuclear Med. 1963;90:1220-6.

Vidyasagar C, Murthy HK. Spinal tuberculosis with neurological deficits. Natl Med J India. 1996;9:257.

Sridhar K, Ramamurthi B. Granulomatous fungal and parasitic infections of the spine. In: Menezes AH, Sonntag VK, editors. Priciples of spinal surgery, Vol 2. New York: McGraw-hill, Health professions Division; 1996:428-436.

Freilich D, Swash M. Diagnosis and management of tuberculous paraplegia with special reference to tuberculous radiculomyelitis. J Neurol Neurosurg Psychiatry. 1979;42:12-8.

Hernandez-Albujar S, Arribas JR, Royo A, Gonzalez-Garcia JJ, Pena JM, Vazquez JJ. Tuberculous radiculomyelitis complicating tuberculous meningitis. Clin Infect Dis. 2000;30:915-21.

Zuger A, Lowy FD. Tuberculosis. In: Scheld MW, Whitley RJ, Durack DT, editors. Infections of the central nervous system. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1997:428-36.

Downloads

Published

2018-04-20

Issue

Section

Case Reports