Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases

Acute transverse myelitis is an inflammatory disorder of the spinal cord in which there is no evidence of spinal cord compression. Longitudinally extensive transverse myelitis (LETM) is a specific subtype of acute transverse myelitis that usually affects three or more vertebral levels and produces m...

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Main Authors: Md Noh, Mohamad Syafeeq Faeez, Bahari, Norafida, Abdul Rashid, Anna Misyail
Format: Article
Published: Korean Neurological Association,Daehan Sin-gyeong Gwahaghoe 2020
Online Access:http://psasir.upm.edu.my/id/eprint/86403/
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author Md Noh, Mohamad Syafeeq Faeez
Bahari, Norafida
Abdul Rashid, Anna Misyail
author_facet Md Noh, Mohamad Syafeeq Faeez
Bahari, Norafida
Abdul Rashid, Anna Misyail
author_sort Md Noh, Mohamad Syafeeq Faeez
building UPM Institutional Repository
collection Online Access
description Acute transverse myelitis is an inflammatory disorder of the spinal cord in which there is no evidence of spinal cord compression. Longitudinally extensive transverse myelitis (LETM) is a specific subtype of acute transverse myelitis that usually affects three or more vertebral levels and produces marked neurological deficits. While the most-common cause of LETM is neuromyelitis optica or neuromyelitis optica spectrum disorder, there are rare cases of other causes mimicking this condition, including tuberculosis (TB). We sought to review the clinicoradiological features of TB myelopathy associated with longitudinally extensive lesion, which may mimic LETM, in the English literature. We searched the PubMed, Google Scholar, Web of Science, and Scopus databases for relevant articles using search terms including “longitudinally extensive transverse myelitis,” “tuberculosis,” “TB spinal cord,” and various combinations of these expressions. Full-text papers were selected without limiting the publication year. We also examined the reference lists of key papers to identify further articles that are potentially relevant. We found 10 cases in 7 papers describing TB myelopathy associated with longitudinally extensive lesion. The demographics, clinical features, relevant cerebrospinal fluid findings, and radiological findings were compiled and summarized. TB myelopathy associated with longitudinally extensive lesion is very rare, with no documented prevalence. Early and accurate diagnosis is important since the condition is potentially treatable.
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spelling upm-864032022-10-18T09:03:07Z http://psasir.upm.edu.my/id/eprint/86403/ Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases Md Noh, Mohamad Syafeeq Faeez Bahari, Norafida Abdul Rashid, Anna Misyail Acute transverse myelitis is an inflammatory disorder of the spinal cord in which there is no evidence of spinal cord compression. Longitudinally extensive transverse myelitis (LETM) is a specific subtype of acute transverse myelitis that usually affects three or more vertebral levels and produces marked neurological deficits. While the most-common cause of LETM is neuromyelitis optica or neuromyelitis optica spectrum disorder, there are rare cases of other causes mimicking this condition, including tuberculosis (TB). We sought to review the clinicoradiological features of TB myelopathy associated with longitudinally extensive lesion, which may mimic LETM, in the English literature. We searched the PubMed, Google Scholar, Web of Science, and Scopus databases for relevant articles using search terms including “longitudinally extensive transverse myelitis,” “tuberculosis,” “TB spinal cord,” and various combinations of these expressions. Full-text papers were selected without limiting the publication year. We also examined the reference lists of key papers to identify further articles that are potentially relevant. We found 10 cases in 7 papers describing TB myelopathy associated with longitudinally extensive lesion. The demographics, clinical features, relevant cerebrospinal fluid findings, and radiological findings were compiled and summarized. TB myelopathy associated with longitudinally extensive lesion is very rare, with no documented prevalence. Early and accurate diagnosis is important since the condition is potentially treatable. Korean Neurological Association,Daehan Sin-gyeong Gwahaghoe 2020 Article PeerReviewed Md Noh, Mohamad Syafeeq Faeez and Bahari, Norafida and Abdul Rashid, Anna Misyail (2020) Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases. Journal of Clinical Neurology, 16 (3). 369 - 375. ISSN 1738-6586; ESSN: 2005-5013 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7354966/ 10.3988/jcn.2020.16.3.369
spellingShingle Md Noh, Mohamad Syafeeq Faeez
Bahari, Norafida
Abdul Rashid, Anna Misyail
Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
title Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
title_full Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
title_fullStr Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
title_full_unstemmed Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
title_short Tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
title_sort tuberculous myelopathy associated with longitudinally extensive lesion: a clinicoradiological review of reported cases
url http://psasir.upm.edu.my/id/eprint/86403/
http://psasir.upm.edu.my/id/eprint/86403/
http://psasir.upm.edu.my/id/eprint/86403/