Skip to main content
PMC home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1979 Jan;42(1):12–18. doi: 10.1136/jnnp.42.1.12

Diagnosis and management of tuberculous paraplegia with special reference to tuberculous radiculomyelitis.

D Freilich, M Swash
PMCID: PMC490152  PMID: 762581

Abstract

Paraplegia occurred in eight of 17 patients with central nervous system tuberculosis. In six of these paraplegia was the presenting feature. Paraplegia may complicate tuberculous meningitis, or vertebral tuberculosis, but it may also occur, as in three of our cases, as a primary localised spinal tuberculous radiculomyelitis. These cases are presented in relation to the concept that paraplegia complicating these forms of tuberculosis is caused by radiculomyelitis.

Full text

PDF
12

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ARSENI C., SAMITCA D. C. Intraspinal tuberculous granuloma. Brain. 1960;83:285–292. doi: 10.1093/brain/83.2.285. [DOI] [PubMed] [Google Scholar]
  2. BAWA Y. S., WAHI P. L. Spinal tuberculous meningitis. J Indian Med Assoc. 1961 Nov 1;37:449–452. [PubMed] [Google Scholar]
  3. BROOKS W. D., FLETCHER A. P., WILSON R. R. Spinal cord complications of tuberculous meningitis; a clinical and pathological study. Q J Med. 1954 Jul;23(91):275–290. [PubMed] [Google Scholar]
  4. BUCY P. C., OBERHILL H. R. Intradural spinal granulomas. J Neurosurg. 1950 Jan;7(1):1-12, illust. doi: 10.3171/jns.1950.7.1.0001. [DOI] [PubMed] [Google Scholar]
  5. CASCINO J., DIBBLE J. B. Tuberculoma of spinal cord. J Am Med Assoc. 1956 Sep 29;162(5):461–462. doi: 10.1001/jama.1956.72970220003006a. [DOI] [PubMed] [Google Scholar]
  6. Dastur D. K., Lalitha V. S., Prabhakar V. Pathological analysis of intracranial space-occupying lesions in 1000 cases including children. 1. Age, sex and pattern; and the tuberculomas. J Neurol Sci. 1968 May-Jun;6(3):575–592. doi: 10.1016/0022-510x(68)90036-1. [DOI] [PubMed] [Google Scholar]
  7. Dastur D., Wadia N. H. Spinal meningitides with radiculo-myelopathy. 2. Pathology and pathogenesis. J Neurol Sci. 1969 Mar-Apr;8(2):261–297. doi: 10.1016/0022-510x(69)90113-0. [DOI] [PubMed] [Google Scholar]
  8. Dastur H. M. A tuberculoma review with some personal experiences. II. Spinal cord and its coverings. Neurol India. 1972 Sep;20(3):127–131. [PubMed] [Google Scholar]
  9. JENKINS R. B. Intradural spinal tuberculoma with genitourinary symptoms. Arch Neurol. 1963 May;8:539–543. doi: 10.1001/archneur.1963.00460050089010. [DOI] [PubMed] [Google Scholar]
  10. Kocen R. S., Parsons M. Neurological complications of tuberculosis: some unusual manifestations. Q J Med. 1970 Jan;39(153):17–30. [PubMed] [Google Scholar]
  11. Mani K. S., Mani A. J., Montgomery R. D. A spastic paraplegic syndrome in South India. J Neurol Sci. 1969 Jul-Aug;9(1):179–199. doi: 10.1016/0022-510x(69)90067-7. [DOI] [PubMed] [Google Scholar]
  12. McNicol M. W., Mikhail J. R., Sutherland I. Tuberculosis in Brent. Postgrad Med J. 1971 Nov;47(553):691–693. doi: 10.1136/pgmj.47.553.691. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Parsons M., Pallis C. A. Intradural spinal tuberculomas. Neurology. 1965 Nov;15(11):1018–1022. doi: 10.1212/wnl.15.11.1018. [DOI] [PubMed] [Google Scholar]
  14. RAMAMURTHI B. Spinal arachnoiditis. Indian J Med Sci. 1961 Oct;15:776–781. [PubMed] [Google Scholar]
  15. RANSOME G. A., MONTIERO E. S. A rare form of tuberculous meningitis. Br Med J. 1947 Mar 29;1(4499):413–413. doi: 10.1136/bmj.1.4499.413. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Shaw M. D., Russell J. A., Grossart K. W. The changing pattern of spinal arachnoiditis. J Neurol Neurosurg Psychiatry. 1978 Feb;41(2):97–107. doi: 10.1136/jnnp.41.2.97. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Wadia N. H., Dastur D. K. Spinal meningitides with radiculo-myelopathy. 1. Clinical and radiological features. J Neurol Sci. 1969 Mar-Apr;8(2):239–260. doi: 10.1016/0022-510x(69)90112-9. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES