Surgical Outcome of Tuberculous Myelitis, Arachnoiditis and Spondylitis after Brain Meningitis: A Case Report
Journal of Korean Society of Spine Surgery
; : 60-64, 2015.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-73584
Biblioteca responsável:
WPRO
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 ANDMETHODS:
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.
Texto completo:
Disponível
Contexto em Saúde:
Doenças Negligenciadas
Problema de saúde:
Doenças Negligenciadas
/
Tuberculose
/
Zoonoses
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paraplegia
/
Aracnoide-Máter
/
Aracnoidite
/
Coluna Vertebral
/
Espondilite
/
Encéfalo
/
Doenças Raras
/
Cifose
/
Laminectomia
/
Membranas
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2015
Tipo de documento:
Artigo