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. 2024 Feb 26;70:102511. doi: 10.1016/j.eclinm.2024.102511

Table 5.

Studies reporting possible interventions for preventing post-tuberculosis neurological function impairment and their main findings.

First author (year of publication), country, and study design Type of neurological function impairment Category of intervention Included interventions Number of participants Main findings
Nas K (2004), Turkey, Prospective cohort Motor impairment Rehabilitation program Muscle-strengthening exercises postoperative for 6 months 47 Rehabilitation programs on motor and functional improve patients motor and functional development of patients with spinal tuberculosis.
Torok MS (2011), Vietnam, RCT Neurological disability Adjunctive dexamethasone therapy Intravenous dexamethasone (0.3–0.4 mg/kg day) at presentation and tapered over six to eight weeks 545 Adjunctive treatment with dexamethasone improves patient survival with TB meningitis but probably does not prevent severe disability
Schoeman JF (1997), South Africa, RCT Hemiparesis and quadriparesis Adjuvant steroids therapy High-dose prednisone as adjuvant steroids (i.e., corticosteroids) therapy 117 No significant difference was found in the incidence of motor deficit between the steroid and nonsteroid groups after the completion of treatment
Schoeman JF (2003), South Africa, RCT Hemiparesis Adjunctive Thalidomide therapy Thalidomide (24 mg/kg/day orally) adjunctive therapy for one month 47 The results do not support the use of adjunctive high-dose thalidomide therapy in the treatment of TB meningitis. The motor outcome was similar in the intervention and control groups
Manesh A (2023), India, Retrospective cohort Neurological deficits (severe disability) Adjunctive Infliximab Therapy Adjunctive High-Dose Infliximab Therapy (Cohort A received at least 1 dose of infliximab after optimal anti-TB treatment and steroids) 50 Infliximab may be an effective and safe adjunctive strategy among severely disabled patients with CNS TB.