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Asymptomatic spinal arachnoiditis in patients with tuberculous meningitis

  • Diagnostic Neuroradiology
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Abstract

Spinal arachnoiditis is one of the common and disabling complication of tuberculous meningitis (TBM). We focused on early diagnosis of spinal arachnoiditis by spinal MRI in asymptomatic patients in whom neurological examination was normal. We studied 16 patients with a diagnosis of probable or highly probable TBM with symptoms for less than 1 month; three had radiological evidence of spinal arachnoiditis. High cerebrospinal fluid protein appeared to be a risk factor for development of spinal arachnoiditis. MRI is sensitive to detect early spinal arachnoiditis. Earlier diagnosis may be helpful in management of spinal arachnoiditis in TBM.

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Acknowledgements

We thank Dr. Tanveer Rizvi for support in interpretation of MRI.

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Authors and Affiliations

  1. Department of Neurology, CN Centre, All India Institute of Medical Sciences, 110029, New Delhi, India

    T. Srivastava

  2. Department of Medicine, S.P. Medical College, 33403, Bikaner, Rajasthan, India

    T. Srivastava & D. K. Kochar

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  1. T. Srivastava
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  2. D. K. Kochar
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Correspondence to T. Srivastava.

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Srivastava, T., Kochar, D.K. Asymptomatic spinal arachnoiditis in patients with tuberculous meningitis. Neuroradiology 45, 727–729 (2003). https://doi.org/10.1007/s00234-003-1077-y

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  • DOI: https://doi.org/10.1007/s00234-003-1077-y

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