A Case of Tuberculous Radiculomyelitis Complicating Tuberculous Meningitis in Pregnant Woman.
- Author:
Byoung Soo SHIN
1
;
Man Wook SEO
;
Young Hyun KIM
Author Information
1. Department of Neurology , Chonbuk National University Medical School, Korea. sbsoo@moak.chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Tuberculous meningitis;
Radiculomyelitis;
Pregnancy
- MeSH:
Abscess;
Adult;
Brain;
Diagnosis;
Epidural Abscess;
Female;
Hemiplegia;
Humans;
Lower Extremity;
Magnetic Resonance Imaging;
Muscular Atrophy;
Nervous System;
Paraparesis;
Paresthesia;
Pregnancy;
Pregnant Women*;
Prognosis;
Reflex, Stretch;
Sensation;
Spinal Cord;
Syringomyelia;
Tomography, X-Ray Computed;
Tuberculoma;
Tuberculosis;
Tuberculosis, Meningeal*;
Urinary Bladder
- From:Korean Journal of Infectious Diseases
2002;34(2):136-141
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although tuberculous meningitis (TBM) rarely complicates pregnancy and seldom occurs in puerperal women, the prognosis for such patients has been surprisingly poor. The neurologic complications of TBM are tuberculoma, syringomyelia, epidural abscess of spinal cord, abscess of brain and internuclear opthalmoplegia. Most reports about TBM in pregnant women are describing prognosis and treatment, and have no concern with complication except hemiplegia. Tuberculous radiculomyelitis (TBRM) is a rare complication of tuberculosis in nervous system. TBRM is characterized by the subacute onset of paraparesis. Symptoms include root pain, paresthesias, bladder disturbance, and muscle wasting. MRI and CT scan are important for diagnosis. We described a 27-year-old pregnant woman, who developed TBM. Durng the treatment of TBM, she developed motor weakness of lower extremities, muscle atrophy, impairment of sensation, voiding disturbance and loss of tendon reflex. CSF evaluation showed an active inflammatory response with a high protein level. The MRI scan of spinal cord demonstrated TBRM. She showed clinical improvement with addictive steroid therapy.
