MRI findings in tubercular radiculomyelitis

Deepali Saxena; Denver Steven Pinto; Anisha S Tandon; Ravi Hoisala

doi:10.1016/j.ensci.2021.100316

MRI findings in tubercular radiculomyelitis

eNeurologicalSci. 2021 Jan 22:22:100316. doi: 10.1016/j.ensci.2021.100316. eCollection 2021 Mar.

Authors

Deepali Saxena¹, Denver Steven Pinto¹, Anisha S Tandon¹, Ravi Hoisala¹

Affiliation

¹ Department of Radiodiagnosis, St. John's Medical College Hospital, Sarjapur Road, Koramangala, Bangalore 560034, India.

Abstract

This article aims to familiarize the reader with the MR imaging findings of tubercular radiculomyelitis (TBRM) and to identify the sources of infection. We evaluated 29 patients on a 1.5 T GE MRI in a cross-sectional study. MRI of the spine with contrast and lumbar puncture were performed in all patients. MRI brain was performed for 13 patients. The typical and atypical manifestations enlisted in this article, will enable early detection of TBRM when the clinical history is ambiguous, as TBRM can present with low backache in both retrovirus positive and negative patients.

Keywords: Arachnoiditis; Leptomeningitis; MRI; Radiculomyelitis; Tubercular radiculomyelitis; Tuberculosis.

Publication types

Review