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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
  • Abbr : J Kor Spine Sur
  • 2015, 22(2), pp.60-64
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

서승표 1 박동혁 2 김철웅 2 Chang-Nam Kang 2

1성애병원
2한양대학교

Accredited

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.

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