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