Study of neurological deficits in patients with tuberculous meningitis and its association with urodynamic study

Authors

  • Arvind Gupta Department of Neurology, GRMS, Gwalior, Madhya Pradesh, India
  • R. K. Garg Department of Neurology, KGMU, Lucknow, Uttar Pradesh, India
  • Sandhya Gupta Consultant, SSIMS Hospital, Gwalior, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20192894

Keywords:

Hemiparesis, Meningeal enhancement, Tuberculosis meningitis, Uroflowmetry

Abstract

Background: Tuberculous meningitis (TBM) is the main form of tuberculosis that affects the central nervous system and is associated with high rates of death and disability. The objective of this study was to study neurological symptoms in TBM patients using clinical diagnosis and MRI of spine and comparing with urodynamic study.

Methods: Fifty one patients diagnosed with TBM were studied in Neurology Department of KGM Medical University, Lucknow. Uroflowmetry and urodynamic study were done to divide the patients into normal and abnormal. A detailed history taking, general physical and neurological examination using MRI spinal cord was done and recorded on a predesigned proforma.

Results: Visual impairment, hemiparesis, paraparesis, abnormal tone and reflexes in lower limbs showed significant association with abnormality in urodynamic study. MRI spine showed significant relationship of spinal meningeal enhancement, lumbosacral arachnoiditis, with abnormal urodynamic study.

Conclusions: We found a significant association between neurological symptoms and abnormal urodynamic

References

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Published

2019-06-28

How to Cite

Gupta, A., Garg, R. K., & Gupta, S. (2019). Study of neurological deficits in patients with tuberculous meningitis and its association with urodynamic study. International Journal of Research in Medical Sciences, 7(7), 2650–2654. https://doi.org/10.18203/2320-6012.ijrms20192894

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Original Research Articles