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Case ReportOpen Access
Syringomyelia as a Complication of Tuberculous Meningitis
Tiamkao S 
,
Tanapaisal C ,
Kanpittaya J ,
Jitpimolmard S
,
Tanapaisal C ,
Kanpittaya J ,
Jitpimolmard S Tuberculous meningitis (TBM) is a common manifestation of extrapulmonary tuber-
culosis. Syringomyelia is a rare complication of TBM. We report a case of syringomyelia due
to TBM.
A 25 year old Thai male was admitted with a history of progressive paraparesis and
loss of body sensation. He had a history of TBM in the previous year, and was treated with anti-
tuberculous drugs. Physical examination revealed a temperature of 37"C. Motor power was grade
3/5 with generalized hyperreflexia. He had bilateral loss of pain, temperature and vibratory sensation
below the T7 level. A magnetic resonance imaging of the spine demonstrated a long segment of
syrinx from C4 to the conus medullaris region. A Tl2-Ll laminectomy and syringosubarachnoid
shunt were done. His clinical symptoms improved after surgery.
Key word : Tuberculous Meningitis, Complication, Syringomyelia
culosis. Syringomyelia is a rare complication of TBM. We report a case of syringomyelia due
to TBM.
A 25 year old Thai male was admitted with a history of progressive paraparesis and
loss of body sensation. He had a history of TBM in the previous year, and was treated with anti-
tuberculous drugs. Physical examination revealed a temperature of 37"C. Motor power was grade
3/5 with generalized hyperreflexia. He had bilateral loss of pain, temperature and vibratory sensation
below the T7 level. A magnetic resonance imaging of the spine demonstrated a long segment of
syrinx from C4 to the conus medullaris region. A Tl2-Ll laminectomy and syringosubarachnoid
shunt were done. His clinical symptoms improved after surgery.
Key word : Tuberculous Meningitis, Complication, Syringomyelia
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