Myeloradiculopathy et Spinal Space Occupying Lession due to Spondylitis Tuberculosis at Thoracal Vertebrae Level: A Case Report and Literature Review

Abstract

Abstract Background: Myelopathy and radiculopathy are different but not mutually exclusive, and patients often experience both conditions. Thoracic myelo-radiculopathy may occur secondary to congenital, infectious, etc. Case Description: The neurology department consulted a 20-year-old woman due to weakness in her lower extremities. The complaints were preceded by pain in the upper back radiating to the chest for eight months since prior and getting worse three weeks before admission until the patient could not walk five days prior. MRI showed an extradural isointense and hyperintense lesion at the Th-2 until Th-4, ring enhancement (+) Th-1, and canal stenosis of the Th-2. The treatment was post anterior thoracic interbody fusion and transmanubrio sternotomy surgery followed by anti-TB treatments. After surgery and medication, the patient experienced significant motor development. From the original lower extremity motor, only 11111/11111 to 33333/44333. Conclusions: Myeloradiculopathy et SOL Extradural at vertebrae level due to the compression of the neural structure by spondylitis TB infection. The importance of early diagnosis and proper treatment are well needed and described.