Journal of Postgraduate Medicine
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Year : 2015  |  Volume : 61  |  Issue : 2  |  Page : 145-146  

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

S Ekinci1, F Akyildiz2, S Sari3, S Akpancar4,  
1 Department of Orthopaedic Surgery, Agri Military Hospital, Agri, Turkey
2 Department of Orthopaedic Surgery, Malatya Military Hospital, Malatya, Turkey
3 Department of Radiology, Gulhane Military Hospital, Ankara, Turkey
4 Department of Orthopaedic Surgery, Gulhane Military Hospital, Ankara, Turkey

Correspondence Address:
S Ekinci
Department of Orthopaedic Surgery, Agri Military Hospital, Agri
Turkey




How to cite this article:
Ekinci S, Akyildiz F, Sari S, Akpancar S. Longitudinal extensive transverse myelitis due to tuberculosis: A report of four cases.J Postgrad Med 2015;61:145-146


How to cite this URL:
Ekinci S, Akyildiz F, Sari S, Akpancar S. Longitudinal extensive transverse myelitis due to tuberculosis: A report of four cases. J Postgrad Med [serial online] 2015 [cited 2020 Oct 1 ];61:145-146
Available from: http://www.jpgmonline.com/text.asp?2015/61/2/145/153116


Full Text

Sir

We read with interest the article by Sahu, Giri, and Gupta entitled "Longitudinal extensive transverse myelitis due to tuberculosis: A report of four cases." [1] We have the following comments. 1) All of the patients that have presented showed similar symptoms. Have authors use a classification system guiding for transverse myelitis treatment? 2) Spinal tuberculosis is the most common and the worst form of tuberculosis lesions in the skeleton. [2],[3] Have they witnessed transverse myelitis patients along with discitis, vertebral body involvement or abcess? 3) Some scientists also reported paradoxical responses as worsening of existing symptoms or the appearance of new lesions in patients who initially responded well to antituberculous therapy. [4],[5] Have authors witnessed poor outcome after treatment transverse myelitis patients?

References

1Sahu SK, Giri S, Gupta N. Longitu dinal extensive trans verse myelitis due to tuberculosis: A report of fourcases. J PostgradMed 2014;60:409-12.
2Boachie-Adjei O, Squillante RG. Tuberculosis of thespine. OrthopClin North Am 1996;27:95-103.
3Rezai AR, Lee M, Cooper PR,Errico TJ, Koslow M. Modern management of spinal tuberculosis. Neurosurgery 1995;36:87-98.
4Moon MS, Moon YW, Moon JL, Kim SS, Sun DH. Conservative treatment of tuberculosis of the lumbar and lumbosacralspine. Clin Orthop Relat Res2002;40-9.
5Cheng VC, Ho PL, Lee RA, Chan KS, Chan KK, Woo PC, et al. Clinical spectrum of paradoxical deterio­ration during antituberculosis therapy in non-HIV-infected patients. Eur J Clin Microbiol Infect Dis 2002;21:803-9.

 
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