Arachnoiditis and intraspinal lesion. Complications of tuberculous meningitis in 2 patients with human immunodeficiency virus infection

Radiculomyelitis (arachnoiditis) (RMA) is a severe complication of tuberculous meningitis (TM). Two patients with HIV infection and TM are here reported. These patients developed RMA. In Spain only four cases of RMA have previously been reported (only one of them was HIV-positive). Clinical manifest...

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Published inRevista clínica espanõla Vol. 201; no. 10; p. 575
Main Authors Eroles Vega, G, Castro Vilanova, M D, Mendivil Ferrer, M, Gómez Rodrigo, J, Lacambra Calvet, C, Ruiz-Capillas, J J, Quiñones, D
Format Journal Article
LanguageSpanish
Published Spain 01.10.2001
Subjects
Adult
Arachnoiditis - microbiology
Cervical Vertebrae
Female
HIV Infections - complications
Humans
Male
Spinal Cord Diseases - microbiology
Thoracic Vertebrae
Tuberculosis, Meningeal - complications
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Summary:Radiculomyelitis (arachnoiditis) (RMA) is a severe complication of tuberculous meningitis (TM). Two patients with HIV infection and TM are here reported. These patients developed RMA. In Spain only four cases of RMA have previously been reported (only one of them was HIV-positive). Clinical manifestations (subacute paraplegia, radicular pain, sensitive level and neurogenic bladder) are reported. Cerebrospinal fluid had inflammatory features, wit predominance of mononuclear cells and remarkable increase in protein content. Magnetic resonance imaging (MRI) is the most suitable diagnostic method. The therapeutic possibilities of this complication are discussed.
ISSN:0014-2565