We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Intramedullary tuberculosis manifested as Brown—Sequard syndrome in a patient with systemic lupus erythematosus.
- Authors
Wan-Uk Kim; Sang-Heon Lee; Byoung-Yong Shim; Jun-Ki Min; Yeon-Sik Hong; Sung-Hwan Park; Chul-Soo Cho; Chun-Kun Park; Ho-Youn Kim
- Abstract
A 25-year-old girl presented with progressive deterioration of right side weakness with decreased sensation on the left trunk. She had been treated with high dose steroid due to autoimmune thrombocytopenia for 2 months. Clinical, laboratory and immunologic studies revealed that she had systemic lupus erythematosus (SLE), MRI of spinal cord showed marginal contrast enhancing and fluid containing mass in the cord of the C5-6 level, suggesting intramedullary abcess. She underwent surgery of mass removal with biopsy. The pathologic findings from cord tissues revealed numerous acid fast bacilli (AFB) in necrotic tissues. After surgery and anti-tuberculous treatment, her neurologic symptoms were markedly improved with restoration of right side motor weakness. To our knowledge, this is the first case report of intramedullary tuberculosis in a patient with SLE. Since intramedullary tuberculosis may sometimes mimic neurologic complication of SLE itself, it may pose diagnostic and therapeutic confusion for clinicians. We report a case of spinal cord tuberculosis affecting C5, 6 level which was manifested as Brown—Sequard syndrome in a patient with SLE. Lupus (2000) 9, 147–150
- Subjects
SYSTEMIC lupus erythematosus; SKIN diseases; TUBERCULOSIS; THROMBOCYTOPENIA; IMMUNOLOGY; BIOPSY
- Publication
Lupus, 2000, Vol 9, Issue 2, p147
- ISSN
0961-2033
- Publication type
Article
- DOI
10.1191/096120300678828064