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Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
Balintona Reynaldo1, Memon Noor Illahi1, Tarab Iqbal1
1Department of Medicine, Hazm Mebaireek General Hospital Hamad Medical Corporation Doha Qatar.
Key Clinical Message:
TBM has a very high rate of adverse sequelae if not treated immediately. Diagnosing can be challenging due to overlapping symptoms with other disease processes, and diagnostic tests are often inconclusive.
Abstract:
A 20-year-old man experienced progressive paraplegia and urinary retention. After extensive laboratory and imaging evaluation for tuberculous meningitis and alternative diagnoses, spinal MRI showed features suggestive of arachnoiditis. He was treated empirically with anti-tuberculosis drugs and corticosteroids. This led to significant improvement and eventual recovery.
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