J Korean Neurol Assoc.
2007 Aug;25(3):390-392.
A Case of Diffuse Tuberculous Arachnoiditis Accompanying Tuberculous Meningoencephalitis
- Affiliations
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- 1Department of Neurology, Gyeongsang National University School of Medicine, Korea. oykwon@nongae.gsnu.ac.kr
- 2Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
Abstract
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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.