Journal of Postgraduate Medicine
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 CASE SERIES
Year : 2014  |  Volume : 60  |  Issue : 4  |  Page : 409-412

Longitudinal extensive transverse myelitis due to tuberculosis: A report of four cases


Department of Medicine, University College of Medical Sciences (UCMS), Delhi, India

Correspondence Address:
Dr. N Gupta
Department of Medicine, University College of Medical Sciences (UCMS), Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.143977

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Tuberculosis of the central nervous system (CNS) accounts for approximately 1% of all cases of tuberculosis and half of these involve the spine. Intramedullary involvement is rare in tuberculosis and usually present in the form of radiculomyelitis, transverse myelitis, intraspinal granulomas, or thrombosis of anterior spinal artery. Transverse myelitis typically extends two or less spinal segments, whereas longitudinal extensive transverse myelitis (LETM) extends three or more spinal segments in length and may occasionally span all the segments of the spinal cord. LETM is most frequently associated with neuromyelitis optica (NMO). Moreover, associations between NMO and active pulmonary tuberculosis have been suggested by a number of case reports and case series. We present here four cases of spinal tuberculosis that presented with LETM and none of them had a clinical profile fulfilling the diagnostic criteria for NMO.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow