Skip to main content
SpringerLink
Log in
Book cover

Clinical Imaging in Non-Pulmonary Tuberculosis pp 27–42Cite as

Tuberculous Radiculomyelopathy and Myelitic Tuberculomas

  • Chapter

Abstract

Until the advent of computed tomography (CT) and magnetic resonance imaging (MRI), the radiological study of spinal neurotuberculosis was held back by the limitations of conventional myelography, the only method of examination of the spinal cord available at that time [1]. By its nature, myelography could only demonstrate surface lesions of the spinal cord and variations in the dimensions of the myelum, as well as thickening and deformity of the nerve roots and cauda equina and, if present, spinal canal block. Except in its early stages, the pathological process of tuberculous radiculomyelopathy hindered myelography. The excessive glutinous exudates associated with spinal meningitis cut off the normal circulation of cerebrospinal fluid (CSF), making lumbar puncture and the introduction of intra-thecal contrast agents difficult and, in the later stages, impossible.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Chang KH, Han MH, Choi YW, et al. (1989) Tuberculous arachnoiditis of the spine: findings on myelography CT and MR imaging. AJNR 10: 1255–1262

    PubMed  CAS  Google Scholar 

  2. Dastur D, Manghani DK, Udani PM (1995) Imaging of tuberculosis and craniospinal tuberculosis: pathology and pathogenic mechanisms of neurotuberculosis. Radiol Clin North Am 33: 733–752

    PubMed  CAS  Google Scholar 

  3. Tandon PN (1978) Tuberculous meningitis (cranial and spinal). In: Vinken PJ, Bruyn GW (eds) Infections of the nervous system. (Handbook of clinical neurology, vol 33 ) Elsevier, Amsterdam pp 195–262

    Google Scholar 

  4. Wadia NH (1973) Radiculomyelopathy associated with spi-nal meningitides (arachnoiditis) with special reference to the tuberculous variety. In: Spillane JD (ed) Tropical neurology. Oxford University Press, London, pp 63–72

    Google Scholar 

  5. Wadia NH, Dastur DK (1969) Spinal meningitides with radiculo-myelopathy. Part 1: clinical and radiological features. J Neurol Sci 8: 239–260

    Article  PubMed  CAS  Google Scholar 

  6. Gupta RK, Gupta S, Kumar S, Koli A, et al. (1994) MRI in intraspinal tuberculosis. Neuroradiology 36: 39–43

    Article  PubMed  CAS  Google Scholar 

  7. Kumar A, Montanera W, Willinsky R, et al. (1993) MR features of tuberculous arachnoiditis. J Comput Assist Tomogr 17: 127–130

    Article  PubMed  CAS  Google Scholar 

  8. Shen W-C, Cheng T-Y, Lee S-K, et al. (1993) Disseminated tuberculomas in the spinal cord and brain demonstrated by MRI with gadolinium-DTPA. Neuroradiology 35: 213–215

    Article  PubMed  CAS  Google Scholar 

  9. Wadia NH (1973) Radiculomyelopathy associated with spi-nal meningitides (arachnoiditis) with special reference to the tuberculous variety. In: Spillane JD (ed) Tropical neurology. Oxford University Press, London, pp 63–72

    Google Scholar 

  10. Gero B, Sze G, Sharif H (1991) MR imaging of intradural inflammatory diseases of the spine. AJNR 12: 1009–1019

    PubMed  CAS  Google Scholar 

  11. Krol G, Sze G, Malkin M, Walker R (1988) MR of cranial and spinal meningeal carcinomatosis: comparison with CT and myelography. AJR 151: 583–588

    PubMed  CAS  Google Scholar 

  12. Sharif H (1992) Role of MR imaging in the management of spinal infections. AJR 158: 1333–1345

    PubMed  CAS  Google Scholar 

  13. Donovan Post MJ, Sze G, Quencer RM, et al. (1990) Gadolineun-enhanced MR in spinal infection. J Comput Assist Tomogr 14: 721–729

    Article  Google Scholar 

  14. Sze G (1988) Gadolineum-DTPA in spinal disease. Radiol Clin North Am 26: 1009–1024

    PubMed  CAS  Google Scholar 

  15. Dillon WP, Norman D, Newton TH, et al. (1989) Intradural spinal cord lesions: Gd-DTPA enhanced MR imaging. Radiology 170: 229–237

    PubMed  CAS  Google Scholar 

  16. Sze G, Abramson A, Krol G, et al. (1988) Gadolineum-DTPA in the evaluation of intradural extramedullar) spinal disease. AJNR 9: 153–163

    Google Scholar 

  17. Jena A, Banerji AK, Tripati RP, et al. (1991) Demonstration of intramedullary tuberculomas by magnetic resonance imaging: a report of two cases. Br J Radiol 64: 555–557

    Article  PubMed  CAS  Google Scholar 

  18. Jinkins JR (1993) MR of enhancing nerve roots in the unoperated lumbosacral spine. AJNR 14: 193–202

    PubMed  CAS  Google Scholar 

  19. Rao CVGK, Fitz CR, Harwood-Nash DC (1974) Dejerine- Sotas syndrome in children (hypertrophic interstitial poly-neuritis). AJR 122:70–74

    CAS  Google Scholar 

  20. Phillips ME, Ryals TJ, Kambhu SA, Yuh WTC (1990) Neo-plastic vs inflammatory meningeal enhancement with Gd-DTPA. J Comput Assist Tomogr 14: 536–541

    Article  PubMed  CAS  Google Scholar 

  21. Hansman Whiteman ML, Dandapani BK, Shebert RT, Donovan Post MJ (1994) MRI of AIDS-related polyradi- culomyelitis. J Comput Assist Tomogr 18: 7–11

    Article  Google Scholar 

  22. McAllister MD, O’Leary DH (1987) CT myelography of subarachnoid leukemic infiltration of the lumbar thecal sac and lumbar nerve roots. AJNR 81:568–569

    Google Scholar 

  23. Williams MP, Olliff JFC, Rowley MR (1990) CT and MR findings in parameningeal leukaemic masses. J Comput Assist Tomogr 14: 736–742

    Article  PubMed  CAS  Google Scholar 

  24. Blews DE, Wang H, Kumar AJ, Robb PA, et al. (1990) Intradural spinal metastases in pediatric patients with primary intracranial neoplasms: Gd-DTPA enhanced MR vs CT myelography. J Comput Assist Tomogr 14:730–735

    Article  PubMed  CAS  Google Scholar 

  25. Rhoton EL, Ballinger WE, Quisling R, Sypert GW (1988) Intramedullary spinal tuberculoma. Neurosurgery 22: 733–736

    Article  PubMed  CAS  Google Scholar 

  26. Sanchez Pernaute R, Berciano J, Rebollo M, Pascual J (1996) Intramedullary tuberculoma of the spinal cord with syringomyelia. Neuroradiology 38: S105–S106

    Article  Google Scholar 

  27. Slasky BS, Bydder GM, Niendorf HP, Young IR (1987) MR imaging with gadolineum-DTPA in the differentiation of tumour, syrinx and cyst of the spinal cord. J Comput Assist Tomogr 11: 845–850

    Article  PubMed  CAS  Google Scholar 

  28. Quint DJ, Levy R, Krauss JC (1995) MR of myelomatous meningitis. AJNR 16: 1316–1317

    PubMed  CAS  Google Scholar 

  29. Wrobel CJ, Meyer S, Johnson RH, Hesselink JR (1992) MR findings in acute and chronic coccidioidomycosis meningitis. AJNR 13: 1241–1245

    PubMed  CAS  Google Scholar 

  30. Desai SP, Bazan C, Hummell W, Jinkins JR (1991) Disseminated CNS histoplasmosis. AJNR 12: 290–292

    PubMed  CAS  Google Scholar 

  31. Mathews VP, Alo PL, Glass JD, Kumar AJ, McArthur JC (1992) Aids-related cryptococcosis: radiologic-pathologic correlation. AJNR 13: 1477–1486

    PubMed  CAS  Google Scholar 

  32. Demaerel P, Wilms G, Van Lierde S, et al. (1994) Lyme disease in childhood presenting as primary lepto-meningeal enhancement without parenchymal findings on MR. AJNR 15: 302–304

    PubMed  CAS  Google Scholar 

  33. Hitchon PW, Ul Haque A, Olson JJ, et al. (1984) Sarcoidosis presenting as an intramedullary spinal cord mass. Neurosurgery 15: 86–90

    Article  PubMed  CAS  Google Scholar 

  34. Huang H, Haq N (1987) Spinal leptomeningeal sarcoidosis. Neuroradiology 29: 100

    Article  PubMed  CAS  Google Scholar 

  35. Kelly RB, Mahoney PD, Cawley KM (1988) MR demonstration of spinal cord sarcoidosis: report of a case. AJNR 9: 197–199

    PubMed  CAS  Google Scholar 

  36. Hayes WS, Sherman JL, Stern BJ, Citrin CM, Pulaski PD (1987) MR and CT evaluation of intracranial sarcoidosis. AJR 149: 1043–1049

    PubMed  CAS  Google Scholar 

  37. Greco A, Steiner RE (1987) Magnetic resonance imaging in neurosarcoidosis. Magn Reson Imaging 5: 15–21

    Article  PubMed  CAS  Google Scholar 

  38. Nesbit GM, Miller GM, Baker HL, et al. (1989) Spinal cord sarcoidosis: a new finding at MR imaging with Gd-DTPA enhancement. Radiology 173: 839–843

    PubMed  CAS  Google Scholar 

  39. Williams DW, Elster AD, Kramer SI (1990) Neurosarcoidosis: Gadolinium-enhanced MR imaging. J Comput Assist Tomogr 14: 704–707

    Article  PubMed  Google Scholar 

  40. Tashiro K, Moriwaka F, Sudo K, et al. (1987) Syphilitic myelitis with it’s MRI verification and successful treatment. Jpn J Psych Neurol 41: 269–271

    CAS  Google Scholar 

  41. Scrimgeour EM, Gajdusek DC (1985) Involvement of the CNS in schistosoma mansoni and S. Haemotobium infection. Brain 108: 1023–1038

    Article  PubMed  Google Scholar 

  42. Murphy KJ, Brunberg JA, Quint DJ, Kazanjian PH (1998) Spinal cord infection: myelitis and abscess formation. AJNR 19: 341–348

    PubMed  CAS  Google Scholar 

  43. Silbergleit R, Silbergleit R (1992) Schistosomal granuloma of the spinal cord: evaluation with MR imaging and intra-operative sonography. AJR 158: 1351–1353

    PubMed  CAS  Google Scholar 

  44. Dupuis MJ, Atrouni S, Dooms GC, Gonsette RE (1990) MR imaging of schistosomal myelitis. AJNR 11: 782–783

    PubMed  CAS  Google Scholar 

  45. Lotz J, Hewlett R, Alheit R, Bowen R (1988) Neurocysticercosis: correlative pathomorphology and MR imaging. Neuroradiology 30: 35–41

    Article  PubMed  CAS  Google Scholar 

  46. Castillo M, Quencer RM, Donovan Post MJ (1988) MR of intramedullary spinal cysticercosis. AJNR 9: 393–395

    PubMed  CAS  Google Scholar 

  47. Miller DH, Ormerod IEC, Rudge P, et al. (1989) The early risk of M.S. following isolated acute syndromes of the brain and spinal cord. Ann Neurol 26: 635–639

    Article  PubMed  CAS  Google Scholar 

  48. Posner CM, Paty DW, Scheinberg L, et al. (1983) New diagnostic criteria for MS: guidelines for research protocols. Ann Neurol 13: 227–231

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Korte Prisengracht 87, 1013 GR, Amsterdam, Netherlands

    Dr. Francis E. McGuinness

Authors
  1. Dr. Francis E. McGuinness
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

McGuinness, F.E. (2000). Tuberculous Radiculomyelopathy and Myelitic Tuberculomas. In: Clinical Imaging in Non-Pulmonary Tuberculosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59635-3_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59635-3_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64061-2

  • Online ISBN: 978-3-642-59635-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation