J Korean Radiol Soc.  2008 Nov;59(5):293-297.

Miliary Tuberculosis with Concurrent Brain and Spinal Cord Involvement: A Case Report

Affiliations
  • 1Department of Radiology, Chung-Ang University Hospital, College of Medicine, Chung-Ang University, Korea. radi94@daum.net
  • 2Department of Neurology, Chung-Ang University Hospital, College of Medicine, Chung-Ang University, Korea.

Abstract

Central nervous system involvement by tuberculosis is rare, and intramedullary involvement is even more rare. A patient that developed intermittent amnesia during anti-tuberculous therapy underwent brain CT and MRI and spine MRI. The latter showed multiple small enhancing nodules in the brain and spinal cord. The patient was treated with anti-tuberculous medication and steroids under the suspected diagnosis of miliary tuberculosis. Follow-up CT showed decreased nodule size and number. We report a case of miliary tuberculosis in the brain and spinal cord and present a review of the literature related to similar cases.

Keyword

Tuberculosis, central nervous system; Brain diseases; Spinal cord diseases; Magnetic resonance (MR); Tuberculosis, miliary

MeSH Terms

Amnesia
Brain
Brain Diseases
Central Nervous System
Follow-Up Studies
Humans
Spinal Cord
Spinal Cord Diseases
Spine
Steroids
Tuberculosis
Tuberculosis, Central Nervous System
Tuberculosis, Miliary
Steroids
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