Pediatric Infectious Disease

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VOLUME 5 , ISSUE 4 ( October-December, 2023 ) > List of Articles


Tuberculous Radiculomyelitis Presenting as Bilaterally Symmetrical Proximal Lower Limb Weakness

Rajender Singh, Naveen Sharma, Pancham Kumar, Vipin Roach

Keywords : Case report, Motor weakness, Radiculomyelitis, Tubercular Arachnoiditis

Citation Information : Singh R, Sharma N, Kumar P, Roach V. Tuberculous Radiculomyelitis Presenting as Bilaterally Symmetrical Proximal Lower Limb Weakness. Pediatr Inf Dis 2023; 5 (4):132-134.

DOI: 10.5005/jp-journals-10081-1407

License: CC BY-NC 4.0

Published Online: 14-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Tuberculosis (TB) is one of the infectious diseases that can present in diverse forms in countries like India with a higher burden of disease. Spinal TB, as a manifestation of TB, can also present in myriad ways, such as tuberculous spondylitis, tuberculous myelitis, tubercular radiculomyelopathy, spinal tuberculoma, and tuberculous arachnoiditis. We hereby report a case of tuberculous radiculomyelitis, which presented to us with bilateral progressive weakness of more of the lower limbs, which was more marked in proximal muscles and had sparing of bowel, bladder, and sensory system, except for pain which was present in the initial phase of illness.

  1. Peng H, Conermann T. Arachnoiditis [Internet]. StatPearls [Internet]. StatPearls Publishing; 2022 [cited 2022 Oct 11]. Available from:
  2. Wadia NH, Dastur DK. Spinal meningitides with radiculo-myelopathy. 1. Clinical and radiological features. J Neurol Sci 1969;8(2):239–260. DOI: 10.1016/0022-510x(69)90112-9
  3. Chang KH, Han MH, Choi YW, et al. Tuberculous arachnoiditis of the spine: findings on myelography, CT, and MR imaging. AJNR Am J Neuroradiol 1989;10(6):1255–1262 PMID: 2512792.
  4. Gupta R, Garg RK, Jain A, et al. Spinal cord and spinal nerve root involvement (myeloradiculopathy) in tuberculous meningitis. Medicine 2015;94(3):e404. DOI: 10.1097/MD.0000000000000404
  5. Garg RK, Malhotra HS, Gupta R. Spinal cord involvement in tuberculous meningitis. Spinal Cord 2015;53(9):649–657. DOI: 10.1038/sc.2015.58
  6. Purkayastha S, Bodhey NK, Gupta AK, et al. MRI features of tubercular spinal arachnoiditis: a case report. Rivista di Neuroradiologia 2005;18(3):386–389. DOI: 10.1177/197140090501800317
  7. Konar SK, Rao KN, Mahadevan A, et al. Tuberculous lumbar arachnoiditis mimicking conus cauda tumor: a case report and review of literature. J Neurosci Rural Pract 2011;2(1):93–96. DOI: 10.4103/0976-3147.80098
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