Grieve James Kerr, Day Scott, Connell David, O'Riordan Jonathan
Department of Neurology, University of Dundee, Dundee, UK.
General Medicine, Ninewells Hospital, Dundee, Tayside, UK.
BMJ Case Rep. 2020 Jan 2;13(1):e231524. doi: 10.1136/bcr-2019-231524.
Tuberculosis is on the rise again. It brings with it potential for neurological involvement both as a direct infection and as a parainfectious process. Accordingly we report the development of neurological problems affecting a 48-year-old patient's vision and sensation while being treated for active tuberculosis. At its nadir her vision deteriorated to nil perception of light and she had a sensory level to T10. Neuromyelitis optica spectrum disorder was diagnosed. We discuss our management strategy with neuromodulation in the context of active tuberculosis infection.
结核病再度呈上升趋势。它带来了神经受累的可能性，既作为直接感染，也作为感染后过程。因此，我们报告了一名48岁患有活动性结核病的患者在接受治疗期间出现影响其视力和感觉的神经问题。在病情最严重时，她的视力恶化至无光感，且存在T10水平的感觉平面。最终诊断为视神经脊髓炎谱系障碍。我们讨论了在活动性结核感染背景下采用神经调节的管理策略。
