Rare complication: Acute syringomyelia due to tuberculoma and tubercular meningitis

Ramanathan, Santosh; Ahluwalia, Tina

doi:10.4103/0976-3147.71734

Cited by 6 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Questions were raised regarding whether IT therapy could have shortened the course of antibiotics and prevented the syrinx. The overwhelming majority of infectious-related syrinxes in adults are secondary to tuberculous meningitis 18–20. Our patient continued to have a variety of infectious pathogens in different body compartments, so it is not clear that IT therapy would have shortened his course of antibiotics.…”

Section: Discussionmentioning

confidence: 89%

Unusual case of spinal subdural empyema with ventriculitis managed conservatively with lumbar drain

2022

View full text Add to dashboard Cite

It has long been believed that spinal subdural empyemas (SDEs) with neurological symptoms result in death if operative intervention is not performed. We present a case of addressing an extensive spinal SDE with a minimally invasive procedure: a bedside lumbar drain. Our patient is a 67-year-old man with medical history significant for type I diabetes who presented 2 weeks after a right shoulder steroid injection with septic arthritis. An MRI was obtained for back pain which revealed spinal SDE from the cervical to lumbosacral spine. Given patient’s acute sepsis, haemodynamic instability, and extent of empyema, we placed a lumbar drain for decompression. The patient had a prolonged complicated hospital course. Imaging 2 months later revealed interval decrease in the spinal SDE. Although this severe septic event left the patient with significant deficits, he was able to return to ambulation without surgical intervention.

show abstract

Section: Discussionmentioning

confidence: 89%

Unusual case of spinal subdural empyema with ventriculitis managed conservatively with lumbar drain

2022

View full text Add to dashboard Cite

show abstract

“…1 Post-TBM syrinx incidence rate is related to the prevalence of TBM in the community, and has been rarely described in literature with only 30 cases reported so far. 2 3 4 5 6 7 8 A precise diagnosis is mandatory to help the physician to adopt the appropriate management and conservative treatment is not effective for post-TBM syringomyelia. 9 Early surgery is highly recommended before the establishment of gross neurological deficits or in case that spine magnetic resonance imaging (MRI) highlights increased size and extension of the cavity.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Posttubercular Syringomyelia Not Responsive to Antitubercular Therapy: Case Report and Review of Literature

et al. 2017

View full text Add to dashboard Cite

Posttubercular adhesive arachnoiditis is a rare, late complication of tubercular meningitis. Syringomyelia can develop as a consequence of intramedullary cystic lesions and cerebrospinal fluid (CSF) flow disturbance around the spinal cord, even after successful chemotherapy. We reviewed the literature related to posttubercular syringomyelia treatment and suggest a new combined surgical approach. A 25-year-old Nigerian male patient presented with legs numbness, urinary disturbance, and legs weakness. Spinal magnetic resonance revealed a T5-T7 syringomyelia, secondary to adhesive spinal arachnoiditis related to a history of tuberculous meningitis. Adhesiolysis by direct visualization with a flexible endoscope was performed and a handmade S-italic syringe-subdural shunt was placed to restore CSF flow. During the postoperative course, the neurological deficits improved together with the resolution of the syrinx. Long-term magnetic resonance imaging follow-up documented no recurrences or shunt displacements. We suggest that, when antitubercular therapy is not effective to resolve postarachnoiditis syrinx, arachnolysis with a flexible endoscope together with the placement of an S-italic shunt allowed free CSF communication between the syrinx and the subarachnoid space. Furthermore, we support that the use of an s-shaped shunt could prevent displacement or migration of the device and allows an easier revision in case of acute or late complications.

show abstract

“…Post-tubercular syringomyelia has no medical treatment and may require surgery if a stable clinical state is not achieved. [6]…”

mentioning

confidence: 99%

Acute syringomyelia: A complication of tubercular meningitis

2019

View full text Add to dashboard Cite

Rare complication: Acute syringomyelia due to tuberculoma and tubercular meningitis

Cited by 6 publications

References 7 publications

Unusual case of spinal subdural empyema with ventriculitis managed conservatively with lumbar drain

Unusual case of spinal subdural empyema with ventriculitis managed conservatively with lumbar drain

Treatment of Posttubercular Syringomyelia Not Responsive to Antitubercular Therapy: Case Report and Review of Literature

Acute syringomyelia: A complication of tubercular meningitis

Contact Info

Product

Resources

About