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Year : 2017 | Volume : 5 | Issue : 1 | Page : 41 - 43  


Case Reports
A Case report of Tubercular meningitis initially presenting as transient paraparesis

Madoori Srinivas1, Dikshitha2

1Professor, 2Post graduate, Department of Pediatrics, Chalmeda Anand Rao institute of medical sciences and hospital, Karimnagar

Corresponding Author:

Dr. Madoori Srinivas

Email: madoorisrinivas@gmail.com

SUMMARY:

Tuberculosis is the worlds leading cause of death from a single infectious agent and is caused by mycobacterium tuberculosis. Central nervous system tuberculosis is most serious complication of tuberculosis in children. Central nervous system tuberculosis in children presents commonly as tubercular meningitis, post-tubercular meningitis hydrocephalus, and much more rarely as space occupying lesions known as tuberculomas. Compression of spinal cord can result in paralysis, and the extent of which depends on the level and area of cord involvement. Tuberculosis of dorsal or dorsolumbar spine causes paraplegia which is the presenting feature of TB spine and incidence is 16-35% and it is rare without spine involvement. Incidence of paraparesis is about 0.9% which is rare and it occurs at a later stage of the disease. Here we report a case of 3yrs old male child with tubercular meningitis who initially presented with transient paraparesis.

Keywords: TBM, Paraparesis, Neck stiffness, Children





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