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Syringomyelia--a complication of meningitis--case report

A Kakar1, V S Madan, V Prakash

  • 1Department of Internal Medicine and Neurosurgery, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.

Spinal Cord
|September 25, 1997
PubMed

Insights

Syringomyelia after meningitis is rare. This case details a patient with arachnoiditis from tubercular meningitis progressing to syringomyelia, treated with a syringo-subarachnoid shunt.

Area of Science:

  • Neurology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Syringomyelia is a rare neurological condition characterized by cyst formation within the spinal cord.
  • Meningitis, particularly tubercular meningitis, can lead to serious neurological sequelae.
  • Arachnoiditis, inflammation of the arachnoid mater, is a known complication of meningitis.

Observation:

  • A 43-year-old Indian male presented with symptoms indicative of progressive spinal cord dysfunction.
  • The patient had a history of tubercular meningitis, which had resulted in arachnoiditis.
  • The arachnoiditis subsequently progressed, leading to the development of syringomyelia.

Findings:

  • This case highlights a rare progression from arachnoiditis secondary to tubercular meningitis to syringomyelia.
  • The patient's syringomyelia was successfully managed with a syringo-subarachnoid shunt.
  • The report underscores the importance of recognizing delayed neurological complications after meningitis.

Implications:

  • Early recognition and intervention for post-meningitis complications like syringomyelia are crucial.
  • Syringo-subarachnoid shunting offers a viable treatment option for managing syringomyelia.
  • Further research into the pathogenesis of syringomyelia following arachnoiditis is warranted.

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