Siddiqi Shaista A, Hashmi Mubashira, Azmat Zeeshan, Mustafa Shahid, Siddiqui Khurram A
Department of Neurology, Liaquat National Hospital, Institute for Postgraduate Medical Studies and Health Sciences, Karachi.
J Coll Physicians Surg Pak. 2012 Aug;22(8):527-8.
Systemic tuberculosis has been reported with varying neurological manifestations like meningitis, tuberculomas, myositis and neuropathy. Neuromyelitis optica (NMO) is a well known neurological entity which has been described in association with several systemic disorders like systemic lupus erythematosis, diabetes mellitus, hypothyroidism, exposure to insecticides etc. However, only a few cases of NMO have been reported in association with Mycobacterium tuberculosis. Here, we report a case of pulmonary tuberculosis in association with NMO to highlight the under-reported association of NMO with pulmonary tuberculosis presenting in a peculiar anatomical fashion i.e. longitudinal myelitis with predominant posterior column involvement.
系统性结核病已被报道有多种神经表现，如脑膜炎、结核瘤、肌炎和神经病变。视神经脊髓炎（NMO）是一种众所周知的神经疾病，已被描述与多种系统性疾病相关，如系统性红斑狼疮、糖尿病、甲状腺功能减退、接触杀虫剂等。然而，仅有少数NMO病例被报道与结核分枝杆菌有关。在此，我们报告一例肺结核合并NMO的病例，以突出NMO与肺结核之间未被充分报道的关联，该关联以一种特殊的解剖学方式呈现，即主要累及后柱的纵向脊髓炎。
