Fehlings M G, Bernstein M
Division of Neurosurgery, Toronto Hospital, Ontario, Canada.
Can J Neurol Sci. 1992 Feb;19(1):84-7.
Tuberculous meningitis may rarely be followed by the development of syringomyelia despite appropriate chemotherapy. In the present paper, we report a case of tuberculous meningitis in a 23-year-old Vietnamese male complicated by a rapidly progressive myelopathy due to granulomatous arachnoiditis which culminated in the development of a syrinx. The relevant literature is reviewed. The present case supports the hypothesis that vasculitic thrombosis of spinal cord vessels leading to ischemic myelomalacia is the mechanism causing postinflammatory syringomyelia.
尽管进行了适当的化疗，结核性脑膜炎仍可能很少继发脊髓空洞症。在本文中，我们报告了一例23岁越南男性的结核性脑膜炎病例，该病例因肉芽肿性蛛网膜炎并发快速进展的脊髓病，最终发展为脊髓空洞。我们对相关文献进行了综述。本病例支持以下假说：脊髓血管的血管炎性血栓形成导致缺血性脊髓软化是引起炎症后脊髓空洞症的机制。
