Surgical Outcome of Tuberculous Myelitis, Arachnoiditis and Spondylitis after Brain Meningitis: A Case Report.
10.4184/jkss.2015.22.2.60
- Author:
Seung Pyo SUH
1
;
Dong Hyuck PARK
;
Chul Woong KIM
;
Chang Nam KANG
Author Information
1. Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea. cnkang65@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Tuberculous myelitis;
Tuberculous arachnoiditis;
Tuberculous spondylitis;
Surgical treatment
- MeSH:
Adult;
Arachnoid*;
Arachnoiditis*;
Brain*;
Female;
Humans;
Kyphosis;
Laminectomy;
Membranes;
Meningitis*;
Myelitis*;
Neurologic Manifestations;
Paraplegia;
Rare Diseases;
Spine;
Spondylitis*
- From:Journal of Korean Society of Spine Surgery
2015;22(2):60-64
- CountryRepublic of Korea
- Language:Korean
-
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.
