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KMID : 1022820180090020034
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Journal of Multiple Sclerosis and Neuroimmunology
2018 Volume.9 No. 2 p.34 ~ p.37
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Longitudinal Extensive Transverse Myelitis Caused by Tuberculosis Infection
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Bae Min-Jeong
Kim Byung-Joon
Shin Kyong-Jin
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Abstract
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Longitudinal extensive transverse myelitis (LETM) due to tuberculosis is uncommon. A 65-year-old man presented with clinical and radiologic features of LETM. Cerebrospinal fluid (CSF) analysis revealed prominent pleocytosis, increased protein, decreased glucose and increased adenosine deaminase. The patient was diagnosed with tuberculosis LETM and treated with steroid and anti-tuberculosis medications. His symptoms and neurologic deficits disappeared and follow-up whole-spine magnetic resonance imaging was normal. Tuberculosis meningitis should be considered in cases of LETM when the CSF profile of a patient with LETM is abnormal.
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KEYWORD
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Myelitis transverse, Tuberculosis, Adenosine deaminase
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