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결핵성 수막뇌염에 동반된 광범위 지주막염 1예

A Case of Diffuse Tuberculous Arachnoiditis Accompanying Tuberculous Meningoencephalitis

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주제분류신경과학

초록

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.

참고문헌 (5)

  1. "Tuberculous radiculomyelitis complicating tuberculous meningitis: case report and review", 30, pp.915~921 (2000)
  2. "Tuberculous radiculomyelitis: review and presentation of five patients", 7, pp.1186~1190 (2003)
  3. "Spinal arachnoiditis", pp.769~774 (1996), London: Churchull Livingstone
  4. "Neuroimaging of tuberculous myelitis: analysis of ten cases and review of literature", 16, pp.197~205 (2006)
  5. "Effect of corticosteroids on intracranial pressure, computed tomographic findings, and clinical outcome in young children with tuberculous meningitis", 99, pp.226~231 (1997)

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