Document Detail

Syringomyelia developing as an acute complication of tuberculous meningitis.
MedLine Citation:
PMID:  9043754     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Tuberculosis of the nervous system has protean manifestations. Syringomyelia, though an uncommon complication of it, is usually of late onset. METHODS: We report two patients with tuberculosis meningitis who developed syringomyelia acutely. The diagnosis was supported by neuroimaging and findings at laminectomy. RESULTS: The two patients developed syringomyelia between 11 days and 6 weeks of the onset of tuberculous meningitis. They both had cord swelling and softening. CONCLUSIONS: Acute-onset syringomyelia should be suspected in any patient being treated for tuberculosis meningitis who subsequently develops limb weakness and/or sphincteric dysfunction. Inflammatory edema and cord ischemia appeared to be the underlying mechanisms in these early onset cases rather than arachnoiditis which is important in late-onset cases.
A K Daif; S al Rajeh; A Ogunniyi; A al Boukai; A al Tahan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques     Volume:  24     ISSN:  0317-1671     ISO Abbreviation:  Can J Neurol Sci     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-05-14     Completed Date:  1997-05-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0415227     Medline TA:  Can J Neurol Sci     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  73-6     Citation Subset:  IM    
Division of Neurology and Radiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
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MeSH Terms
Acute Disease
Brain / radiography
Spinal Cord / radiography
Syringomyelia / etiology*,  radiography
Tomography, X-Ray Computed
Tuberculosis, Meningeal / complications*,  radiography

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