Syringomyelia as a Complication of Tuberculous Meningitis
SOMSAK TIAMKAO,M.D.*, CHAIWIT TANAPAISAL, M.D.**, JATURAT KANPITTAYA, M.D.***, SUTHIPUN JITPIMOLMARD,M.D.,D.C.N. (Lond.)*
Affiliation : * Department of Medicine, **Department of Surgery, ***Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
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.
Keywords : Tuberculous Meningitis, Complication, Syringomyelia
