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NEUROLOGY 1990;40:714
© 1990 American Academy of Neurology

Arachnoiditis ossificans with arachnoid cyst after cranial tuberculous meningitis

W. Van Paesschen, MD, M. Van Den Kerchove, MD, B. Appel, MD, R. Klaes, MD, I. Neetens, MD and A. Lowenthal, MD

Departments of Neurology (Drs. Van Paesschen, Van Den Kerchove, and Lowenthal), Neuroradiology (Dr. Appel), Neurosurgery (Dr. Klaes), and Pathology (Dr. Neetens), AZ Middelheim, Antwerp, Belgium.

A 34-year-old woman developed symptomatic arachnoiditis ossificans and an arachnoid cyst as a consequence of tuberculous meningitis adequately treated 20 years before. Surgical decompression of the cyst stopped the progression of her spastic paraparesis. Pathologic examination confirmed the presence of ossification of the arachnoid.

Address correspondence and reprint requests to Dr. W. Van Paesschen, The Mount Sinai Hospital, Department of Neurology, One Gustave L. Levy Place, New York, NY 10029-6574.

Received June 20, 1989. Accepted for publication in final form September 25, 1989.




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