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KMID : 0388720150220020060
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Journal of Korean Society of Spine Surgery
2015 Volume.22 No. 2 p.60 ~ p.64
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Surgical Outcome of Tuberculous Myelitis, Arachnoiditis and Spondylitis after Brain Meningitis: A Case Report
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:Suh Seung-Pyo
:Park Dong-Hyuck/:Kim Chul-Woong/:Kang Chang-Nam
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Abstract
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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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KEYWORD
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Tuberculous myelitis, Tuberculous arachnoiditis, Tuberculous spondylitis, Surgical treatment
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