Spinal Cord

Chapter
First Online:

Abstract

Spinal tuberculosis (TB) is one of the presentations of TB involving the nervous system. This chapter is focused on various presentations, diagnosis and management of spinal cord TB, which has various forms like compressive myelopathy, non-compressive tubercular myeloradiculitis, intramedullary tuberculoma/abscess, cord atrophy and post-TB syringomyelia. Pott’s spine is the most common form followed by intradural extramedullary tuberculoma/abscess and arachnoiditis. Direct involvement of spinal cord parenchyma is rare but an important entity. Its clinical presentation is somewhat similar to intramedullary spinal cord tumour, but when diagnosed in time and managed accordingly, outcomes are much better. In this chapter, special issues such as role of magnetic resonance imaging in differential diagnosis and its characteristic findings are addressed. Medical management and need of surgical intervention for specific conditions are discussed in details with a view of creating a concept for the management of spinal cord TB.

Keywords

Intramedullary tuberculoma Spinal cord Spinal tuberculosis Target sign 

Abbreviations

Anti-TB

Antitubercular therapy

CNS

Central nervous system

CSF

Cerebrospinal fluid

CT

Computed tomography

CUSA

Cavitron ultrasonic aspirator

ESR

Erythrocyte sedimentation rate

ETB

Ethambutol

HIV

Human immunodeficiency virus

INH

Isoniazid

MF

Moxifloxacin

MRI

Magnetic resonance imaging

RIF

Rifampicin

SEPs

Sensory evoked potentials

STR

Streptomycin

TB

Tuberculosis

TBM

Tubercular meningitis

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© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of NeurosurgeryKing George’s Medical UniversityLucknowIndia

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