Study in the therapy of transverse myelitis occurring during tuberculous meningitis.

Transverse myelitis appearing during the course of tuberculous meningitis is one of the main reasons for its poor prognosis. Fortunately, this condition is relatively infrequent and, it is possible with prompt and appropriate therapy it can be significantly reduced. Spreading of the infection in the medulla spinahis is mainly due to contamination of the meninges during tuberculous meningitis. Localization of Mycobacterium tuberculosis in the medullar substance through the circulation in generalized tuberculosis is uncommon. In the international literature, only a few cases of tubercuhous meningomyelitis are reported. Kupka and his collaborator, Harbitz, Kreschner and his collaborator, and Rigton, have presented a number of cases. Fischer reported 20 cases of myelitis in the course of tuberculous spondyhitis caused by compression of vertebrae and cold abscess formation. At Sotiria Sanatorium, in our clinic, we treated 209 cases of tuberculous meningitis and observed only six cases of transverse myelitis, which appeared in the course of tuberculous meningitis insufficiently treated at places other than our institution. Three of them died, and necropsies were performed.* Report of Cases