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A case report of long-segment tuberculous myelitis with concomitant tuberculous meningitis.


ABSTRACT:

Background

Tuberculous myelitis is a form of central nervous system tuberculosis (TB) that can be associated with intracranial involvement but rarely presents with extensive longitudinal involvement of more than one segment. We are reporting a case with tuberculous meningitis and long-segment myelitis in a previously undiagnosed patient with TB.

Case description

A 53-year-old hypertensive male, presented with subacute lower limbs weakness, sensory level below his nipples, and urine retention. Erythrocyte sedimentation rate (ESR) was above 112 mm/hour. Magnetic resonance imaging (MRI) spine showed a long segment of hyperintense signal seen on the T2-weighted image (T2WI) images in the spinal cord extending from C6 to D3 vertebral segments, with heterogeneous post-contrast enh

SUBMITTER: Mohmed MHA 

PROVIDER: S-EPMC12319586 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature