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 Case Reports |
| Two Cases of Tuberculous Spinal Arachnoiditis Diagnosed by MRI |
| Yong Joo Kim, Sok Heon Kim, Chul Woo Yang, Soon Jib Yoo, Je Young Woo, Suk Young Kim, Eui Jin Choi, Moon Won Kang, Byung Kee Bang |
| Department of Internal Medicine, Catholic University Medical College, Seoul, Korea |
Vol.25 Num.3 (p265~269)
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Tuberculous arachnoiditis of the spine is a serious illness with no known definite pathogenesis and therapeutic modalities. It usually has been diagnosed by invasive procedures such as conventional myelography and CT myelography. We recently experienced two patients with arachnoiditis whose conditions were too poor to perform these invasive studies. One was CRF patient in the course of tuberculous meningitis and the other was the patient with comatous mentality and paraplegia which developed during the acute stage of tuberculous menigitis. These patients were diagnosed tuberculous arachnoiditis by spine MRI and medicated antiuberculous drug and steroid combination or steroid therapy alone with successful clinical improvement. We reviewed the MRI as a diagnostic tool and steroid as a therapeutic regimen.
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