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. 2022 Jun 23;43(9):5615–5624. doi: 10.1007/s10072-022-06221-6

Table 2.

Summary of all 18 patients diagnosed as tuberculous myelitis

Age/gender Clinical features MRI spine MRI brain Cerebrospinal fluid Sputum Pulmonary TB Tuberculous meningitis Paradoxically developed myelitis Outcome
30/M Paraparesis Sphincter involvement Fever Altered sensorium Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Extra axial collection Hydrocephalus Basal exudate Meningeal enhancement Tuberculoma Protein-1219 mg/dl glucose-36 mg/dl TLC-40/mm3 Negative Yes Yes No Good
28/F Paraparesis Sphincter involvement Fever Headache Seizure Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Extra axial collection Basal exudate Tuberculoma Protein-68 mg/dl glucose -46 mg/dl TLC-15/mm3 Negative Yes Yes No Good
25/F Paraparesis Sensory involvement vomiting Dorsal myelitis (LETM) Spinal meningeal enhancement CSF loculations Tuberculoma Protein-1825 mg/dl glucose -87 mg/dl TLC-35/mm3 Negative Yes Yes Yes Poor
19/F Paraparesis Sensory involvement Sphincter involvement Cervico-dorsal myelitis (LETM) Normal Protein-58 mg/dl glucose -57 mg/dl TLC-50/mm3 Positive Yes No Yes Good
25/F Paraparesis Sensory involvement Sphincter involvement Fever Headache Dorsal myelitis (LETM) Spinal meningeal enhancement Meningeal enhancement Tuberculoma Protein-249 mg/dl glucose -44 mg/dl TLC-318/mm3 Negative No Yes Yes Good
16/F Paraparesis Fever Headache Altered sensorium Vomiting Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement CSF loculations Extra axial collection Basal exudate Meningeal enhancement Tuberculoma Protein-153 mg/dl glucose -7 mg/dl TLC-50/mm3 Negative No Yes Yes Good
24/F Paraparesis Sphincter involvement Cervical myelitis (LETM) Spinal meningeal enhancement Arachnoiditis Hydrocephalus Basal exudate Meningeal enhancement Protein-221 mg/dl glucose-20 mg/dl TLC-460/mm3GeneXpert-Positive Negative No Yes Yes Good
28/F Paraparesis Sensory involvement Sphincter involvement Dorsal myelitis (LETM) Spinal meningeal enhancement Spinal tuberculoma Tuberculoma Protein-46 mg/dl glucose -56 mg/dl TLC-70/ mm3 Negative No Yes No Good
35/M Quadriparesis Fever Vomiting Altered sensorium Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Hydrocephalus Basal exudates Tuberculoma Optochiasmatic arachnoiditis Meningeal enhancement Protein-206 mg/dl glucose -56 mg/dl TLC-510/mm3 Negative No Yes No Good
12/F Paraparesis Sphincter involvement Cervico-dorsal myelitis (LETM) Cord swelling Cervico-medullary area postrema involvement Normal Protein-89 mg/dl glucose -46 mg/dl TLC-80/ mm3 Negative Yes No Yes Good
30/M Paraparesis Sensory involvement Sphincter involvement Headache Altered sensorium Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Hydrocephalus Basal exudates Infract Meningeal enhancement Protein-501 mg/dl glucose -37 mg/dl TLC-5/ mm3 Negative No Yes No Poor
28/M Paraparesis Sensory involvement Sphincter involvement Cervical myelitis (LETM) Spinal meningeal enhancement Normal Protein-120 mg/dl glucose -42 mg/dl TLC-25/ mm3 Negative Yes No No Good
28/M Paraparesis Sensory involvement Sphincter involvement Cervico-dorsal myelitis (LETM) Spinal tuberculoma Normal Protein-35 mg/dl glucose -116 mg/dl TLC-5/mm3 Positive Yes No No Good
25/M Paraparesis Sensory involvement Sphincter involvement fever Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Arachnoiditis Normal Protein-144 mg/dl glucose-45 mg/dl TLC-100/mm3 GeneXpert-Positive Negative No No No Poor
25/F Paraparesis Sphincter involvement Fever Headache Dorsal myelitis (LETM) Spinal meningeal enhancement Arachnoiditis Hydrocephalus Basal exudate Infract Meningeal enhancement Protein-1371 mg/dl glucose -110 mg/dl TLC-290/mm3 Negative No Yes No Good
40/M Paraparesis Sphincter involvement Fever Headache Altered sensorium Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Hydrocephalus Basal exudate Tuberculoma Optochiasmatic arachnoiditis Meningeal enhancement Protein-140 mg/dl glucose-20 mg/dl TLC-290/mm3 GeneXpert-Positive Positive Yes Yes No Good
27/F Paraparesis Sphincter involvement Fever Headache vomiting Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement CSF loculation Tuberculoma Meningeal enhancement Protein-763 mg/dl glucose -13 mg/dl TLC-520/mm3 Negative No Yes No Good
20/M Paraparesis Sphincter involvement Fever Headache Seizure Altered sensorium vomiting Cervico-dorsal myelitis (LETM) Spinal meningeal enhancement Hydrocephalus Meningeal enhancement Protein-58 mg/dl glucose -60 mg/dl TLC-12/mm3 Negative Yes Yes No Good

LETM, longitudinally extensive transverse myelitis; TLC, total leukocyte count