Abstract
Until the advent of computed tomography (CT) and magnetic resonance imaging (MRI), the radiological study of spinal neurotuberculosis was held back by the limitations of conventional myelography, the only method of examination of the spinal cord available at that time [1]. By its nature, myelography could only demonstrate surface lesions of the spinal cord and variations in the dimensions of the myelum, as well as thickening and deformity of the nerve roots and cauda equina and, if present, spinal canal block. Except in its early stages, the pathological process of tuberculous radiculomyelopathy hindered myelography. The excessive glutinous exudates associated with spinal meningitis cut off the normal circulation of cerebrospinal fluid (CSF), making lumbar puncture and the introduction of intra-thecal contrast agents difficult and, in the later stages, impossible.
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McGuinness, F.E. (2000). Tuberculous Radiculomyelopathy and Myelitic Tuberculomas. In: Clinical Imaging in Non-Pulmonary Tuberculosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59635-3_3
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DOI: https://doi.org/10.1007/978-3-642-59635-3_3
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