Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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A Case of Tuberculous Radiculomyelitis Despite of Proper Antituberculous Treatment in a Patient of Tuberculous Meningitis

적절한 치료를 받은 결핵성 뇌막염 환자에게서 하지마비로 나타난 신경근 척수염 1예

  • Shin, Dae-Soo (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center) ;
  • Lee, Young-Ju (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center) ;
  • Kim, Jin-Suk (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center) ;
  • Park, Hyun-Young (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center) ;
  • Chang, Hyuk (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center) ;
  • Kim, Yo-Sik (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center) ;
  • Jo, Kwang-Ho (Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center)
  • 신대수 (원광대학교 의과대학 신경과학교실, 원광의과학연구소) ;
  • 이영주 (원광대학교 의과대학 신경과학교실, 원광의과학연구소) ;
  • 김진석 (원광대학교 의과대학 신경과학교실, 원광의과학연구소) ;
  • 박현영 (원광대학교 의과대학 신경과학교실, 원광의과학연구소) ;
  • 장혁 (원광대학교 의과대학 신경과학교실, 원광의과학연구소) ;
  • 김요식 (원광대학교 의과대학 신경과학교실, 원광의과학연구소) ;
  • 조광호 (원광대학교 의과대학 신경과학교실, 원광의과학연구소)
  • Published : 2005.05.31
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Abstract

Tuberculous radiculomyelitis (TBRM) is a complication of tuberculous meningitis (TBM), which has been reported rarely in the modern medical literature. We describe a case of TBRM, which developed during the treatment of TBM. A 28-year-old man suddenly developed lower back pain, flaccid paraparesis, urinary incontinence, while the TBM was improving with the treatment at 9th day after admission. Spinal MRI revealed leptomeningeal enhancement along with thoracolumbar spinal canal, thickening of nerve roots, spinal meninges and intramedullary high signal lesion in T2 level.

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