Diagnosis and Treatment of Cauda Equina Arachnoiditis, a Rare Manifestation of Tuberculosis Meningoencephalitis: A Case Report

Tuberculous meningoencephalitis (TM) is an acute, progressive form of tuberculosis (TB). The epidemiology, clinical signs, and diagnosis TB are well established, but several atypical forms tuberculous spinal arachnoiditis can be easily misdiagnosed. We report a rare case TM with cauda equina diagnosed by magnetic resonance imaging electrodiagnostic study. A 26-year-old otherwise healthy male patient experienced fever, headache, gait disturbance, bladder bowel incontinence. Needle electromyography (EMG) recordings were suggestive bilateral diffuse lumbar lumbosacral polyradiculopathy, the pudendal sensory-evoked potential bulbocavernosus reflex latencies prolonged. Lumbar condition that warrants heightened index suspicion. It has diverse etiologies symptoms, it lead to potentially serious irreversible disorders. This illustrates usefulness nerve conduction, EMG, latency studies in syndrome induced arachnoiditis.