Longitudinal Extensive Transverse Myelitis Caused by Tuberculosis Infection

Bae, Min-Jeong; Kim, Byung Joon; Shin, Kyong Jin

J Mult Scler > Volume 9(2); 2018 > Article

Case Report

Journal of Multiple Sclerosis 2018;9(2):34-37.
Published online September 1, 2018.

세로로 광범위한 결핵 횡단척수염

배민정, 김병준, 신경진

인제대학교 해운대백병원 신경과

Longitudinal Extensive Transverse Myelitis Caused by Tuberculosis Infection

Min-Jeong Bae, Byung Joon Kim, Kyong Jin Shin

Department of Neurology, Inje University Haeundae Paik Hospital, Busan, Korea

Abstract

"Longitudinal extensive transverse myelitis (LETM) due to tuberculosis is uncommon. A 65-year-old man presented with clinical and radiologic features of LETM. Cerebrospinal fluid (CSF) analysis revealedprominent pleocytosis, increased protein, decreased glucose and increased adenosinedeaminase. The patient was diagnosed with tuberculosis LETM and treated with steroid and anti-tuberculosismedications. His symptoms and neurologic deficits disappeared and follow-upwhole-spine magnetic resonance imaging was normal. Tuberculosis meningitis should be consideredin cases of LETM when the CSF profile of a patient with LETM is abnormal. Journal of Multiple Sclerosis 9(2):34-37, 2018"

Key Words: Myelitis transverse, Tuberculosis, Adenosine deaminase