The Combined Peripheral and Central Demyelinating Disease Associated with Pulmonary Tuberculosis

J Korean Neurol Assoc > Volume 18(2); 2000 > Article

Journal of the Korean Neurological Association 2000;18(2): 240-243.

폐결핵과 연관된 말초 및 중추 탈수초성 병변

이상암, 최일수

울산대학교 의과대학 서울중앙병원 신경과학교실

The Combined Peripheral and Central Demyelinating Disease Associated with Pulmonary Tuberculosis

Sang Ahm Lee, M.D., Il Soo Choi, M.D.

Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine

Abstract

Although there are some reports of neuromyelitis optica or Guillain-Barre syndrome in patients with tuberculosis, the combined peripheral and central demyelination associated with tuberculosis has not yet been reported. We report a 43 year-old man with active pulmonary tuberculosis presenting with Guillain-Barre syndrome, bilateral optic neuritis, and multiple central nervous system white matter lesions on MRI. Our case suggests that tuberculosis may be associated with the combined peripheral and central demyelination. J Korean Neurol Assoc 18(2):240~243, 2000 Key Words : Guillain-Barre syndrome, Optic neuritis, Demyelination, Pulmonary tuberculosis