A Case of Diffuse Tuberculous Arachnoiditis Accompanying Tuberculous Meningoencephalitis

J Korean Neurol Assoc > Volume 25(3); 2007 > Article

Journal of the Korean Neurological Association 2007;25(3): 390-392.

결핵성 수막뇌염에 동반된 광범위 지주막염 1예

이준환, 권오영a,b 손승남a 강종수a 박의정a 강희영a,b 박기종a,b 최낙천a,b 임병훈a,b

경상대학교 의학전문대학원 신경과학교실a 경상대학교 건강과학연구원b

A Case of Diffuse Tuberculous Arachnoiditis Accompanying Tuberculous Meningoencephalitis

Jun-Hwan Lee

Department of Neurology, Gyeongsang National University School of Medicinea, Gyeongsang Institute of Health Science, Gyeongsang National Universityb, Jinju, Korea

Abstract

Tuberculous arachnoiditis is a rare complication of tuberculous meningoencephalitis. Few cases of diffuse involvement of tuberculous arachnoiditis are reported. We describe a 35-year-old HIV-negative male with diffuse tuberculous arachnoiditis aggravated during the steroid tapering. The arachnoiditis accompanied the meningoencephalitis and involved the entire surface of the brainstem and whole segments of the spinal cord. The patient showed flaccid quadriplegia and paradoxical respiration, which are thought to be due to arachnoiditis. KeyWords:Tuberculosis, Arachnoiditis, Meningoencephalitis