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Surgical Outcome of Tuberculous Myelitis, Arachnoiditis and Spondylitis after Brain Meningitis: A Case Report
Journal of Korean Society of Spine Surgery ; : 60-64, 2015.
Artículo en Coreano | WPRIM | ID: wpr-73584
ABSTRACT
STUDY

DESIGN:

A case report.

OBJECTIVES:

To report a rare case of a surgically treated tuberculous myelitis and arachnoiditis patient with incomplete paraplegia. SUMMARY OF LITERATURE REVIEW Tuberculous myelitis and arachnoiditis is a rare disease with a high rate of neurologic deficit. This condition is treated using antituberculous medication and high-dose steroid therapy, but surgical treatment has rarely been reported and the outcomes vary. MATERIAL AND

METHODS:

A 29-year-old female had tuberculous myelitis and arachnoiditis. The patient was treated with antituberculous medication and high-dose steroid therapy, but the treatment failed and the patient could not walk because of incomplete paraplegia. The surgical treatment was performed twice; we decompressed by total laminectomy and debrided the infected arachnoid membrane. Four months after surgery, we performed anterior interbody fusion due to the development of spondylitis with kyphosis.

RESULTS:

Three years after the first operation, the patient's neurologic state improved and she could walk 90 m without assistance.

CONCLUSIONS:

Here, we report a very rare case of surgically treated tuberculous myelitis and arachnoiditis and provide a treatment option for this condition to spine surgeons.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Paraplejía / Aracnoides / Aracnoiditis / Columna Vertebral / Espondilitis / Encéfalo / Enfermedades Raras / Cifosis / Laminectomía / Membranas Límite: Adulto / Femenino / Humanos Idioma: Coreano Revista: Journal of Korean Society of Spine Surgery Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Paraplejía / Aracnoides / Aracnoiditis / Columna Vertebral / Espondilitis / Encéfalo / Enfermedades Raras / Cifosis / Laminectomía / Membranas Límite: Adulto / Femenino / Humanos Idioma: Coreano Revista: Journal of Korean Society of Spine Surgery Año: 2015 Tipo del documento: Artículo