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Published on: October 25, 2024
Craniovertebral Junction Arachnoiditis: An Unusual Sequelae to Tuberculous Meningitis
Nupur Pruthi1, Tarang Kamalkishore Vora1, Dhaval P Shukla1
1Department of Neurosurgery, National Institute of Mental Health and NeurosciencesBangalore, KarnatakaIndia.
Abstract:
Adhesive arachnoiditis at the craniovertebral junction should be suspected in patients with a history of meningitis having delayed onset gradually progressive tetra paresis. Patients can present after an asymptomatic interval of 2 to 20 years. Cardiac gated cine magnetic resonance imaging is useful for its diagnosis. Posterior fossa decompression with upper cervical laminectomy and adhesiolysis appears to be a reasonable treatment for the same. We illustrate two patients who presented to us with gradually progressive spastic tetra paresis; both had prior history of cured tuberculous meningitis.
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