A Case of Tuberculous Epidural Abscess Developed During the Treatment of Disseminated Intracranial Tuberculosis

J Korean Neurol Assoc > Volume 16(1); 1998 > Article

Journal of the Korean Neurological Association 1998;16(1): 91-94.

미만성 두개강내 결핵 치료 도중 발생한 척수 경막외 농양 1례

한범기, 김승민, 권준범, 양현덕, 조성진, 문준식, 이성수

연세대학교 원주의과대학 원주기독병원 신경과학교실

A Case of Tuberculous Epidural Abscess Developed During the Treatment of Disseminated Intracranial Tuberculosis

Bum-Gi Han, M.D., Seung-Min Kim, M.D., Joon-Bum Kwon, M.D., Ki-Chul Park, M.D., Sung-Jin Cho, M.D., Joon-Shik Moon, M.D., Sung-Soo Lee, M.D.

Department of Neurology, Wonju Christian Hospital, Wonju College of Medicine, Yonsei University

Abstract

A 29-year-old man has been presented with disseminated pulmonary tuberculosis and brain parenchymal tuberculous nodule. The CSF examination showed the features of subacute meningitis consistent with tuberculosis, and chronic granulomatous inflammation with acid-fast bacilli was found on pleural biopsy. He was treated with anti-tuberculous chemotherapy and showed subjective improvement of the symptoms. But rather rapidly progressive weakness of lower extremities and voiding difficulty were newly developed, and the thoracic spinal MRI showed diffuse epidural abscess along the entire thoracic segment. He showed excellent clinical improvement with additive steroid therapy.