Skip to main content Accessibility help
×
Home

Syringomyelia as a Complication of Tuberculous Meningitis

  • Michael G. Fehlings (a1) and Mark Bernstein (a1)

Abstract:

Tuberculous meningitis may rarely be followed by the development of syringomyelia despite appropriate chemotherapy. In the present paper, we report a case of tuberculous meningitis in a 23-year-old Vietnamese male complicated by a rapidly progressive myelopathy due to granulomatous arachnoiditis which culminated in the development of a syrinx. The relevant literature is reviewed. The present case supports the hypothesis that vasculitic thrombosis of spinal cord vessels leading to ischemic myelomalacia is the mechanism causing postinflammatory syringomyelia.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Syringomyelia as a Complication of Tuberculous Meningitis
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Syringomyelia as a Complication of Tuberculous Meningitis
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Syringomyelia as a Complication of Tuberculous Meningitis
      Available formats
      ×

Copyright

Corresponding author

Division of Neurosurgery, The Toronto Hospital, Western Division, 399 Bathurst St, Toronto, Ontario, Canada M5T 2S8

References

Hide All
1. Vlcek, B, Burchiel, KJ, Gordon, T.Tuberculous meningitis presenting as an obstructive myelopathy. J Neurosurg 1984; 60: 196199.
2. Wilkinson, HA, Ferris, EJ, Muggia, AL, et al. Central nervous system tuberculosis: a persistent disease. J Neurosurg 1971; 34: 1522.
3. Clark, WC, Metcalf, JC, Muhlbauer, MS, et al. Mycobacterium tuberculous meningitis: a report of twelve cases and a literature review. Neurosurgery 1986; 18: 604610.
4. Brooks, W, Fletcher, A, Wilson, R.Spinal cord complications of tuberculous meningitis. A clinical and pathological study. Q J Med 1954; 23: 275290.
5. Ransome, GA, Monteiro, ES.A rare form of tuberculous meningitis. Br Med J 1947; 1:413414.
6. Misra, RN, Tendon, PN, Lahiri, AK.Etiological survey of paraplegia. Neurol India 1964; 12: 5053.
7. Roaf, R, Kirkaldy-Willis, WH, Cathro, AJM.Surgical Treatment of Bone and Joint Tuberculosis. Edinburgh: Livingstone, 1959.
8. Parsons, M, Pallis, CA.Intradural spinal tuberculomas. Neurology 1965; 15: 10181022.
9. Appleby, A, Bradley, W, Foster, J, et al. Syringomyelia due to chronic arachnoiditis at the foramen magnum. J Neurol Sci 1969; 8: 541464.
10. Barnett, H.Syringomyelia associated with spinal arachnoiditis. In: Barnett, H, Foster, J.Hudgson, P.Syringomyelia. London: Saunders, 1973; 220244.
11. Caplan, LR, Norohna, AB, Amico, LL.Syringomyelia and arachnoiditis. J Neurol Neurosurg Psychiatry 1990; 53: 106113.
12. Feigen, I, Ogata, V, Budzelovich, G.Syringomyelia: the role of edema in its pathogenesis. J Neuropathol Exp Neurol 1971; 30: 216232.
13. Marinesco, G.Contribution a l’étude de la pachymeningite hypertrophique. Rev Neurol 1916; 30: 233253.
14. Giminez-Roldan, S, Esteban, A, Benito, C.Communicating syringomyelia following cured tuberculous meningitis. J Neurol Sci 1974; 23: 185197.
15. Savoiardo, M.Syringomyelia associated with postmeningitic spinal arachnoiditis. Neurology 1976; 26: 551554.
16. Schon, F, Bowler, J.Syringomyelia and syringobulbia following tuberculous meningitis. J Neurol 1990; 237: 122123.
17. Suzuki, M, Davis, C, Symon, L, et al. Syringoperitoneal shunt for treatment of cord cavitation. J Neurol Neurosurg Psychiatry 1985; 48: 620627.
18. Tsuchiya, K, Takeshita, K, Makita, K, et al. Syringomyelia following tuberculous meningitis: report of three cases diagnosed by MR imaging (Japanese). Rinsho-Hoshasen 1988; 33: 15891592.
19. MacDonald, RL, Findlay, JM, Tator, CH.Microcystic spinal cord degeneration causing post-traumatic myelopathy. J Neurosurg 1988; 68:466471.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed