Case Report on Cervical Tuberculous Myelitis

Introduction:-TB of the cervical spine is uncommon, accounting for only 3-5 percent of all instances of spinal tuberculosis.A total of eight patients with cervical TB were examined between 1989 and 1992.They were all suffering from neck ache.The four youngsters have a kyphotic malformation.The disease was widespread in the youngsters, with a big prevertebral abscess forming, but it was limited to one or two motion segments in the adults.In four of the eight patients, there was cord compression.Clinical findings :-Neck pain, trouble moving the neck, altered sensorium, weakness in the lower limbs, inability to stand and walk, and swallowing difficulties are all common symptoms.Diagnostic evaluation :-CSF Exam:-RBC-Nil/HPF WBC-0-1 cell/HPF DLC-primarily mononuclear cell (tymphocyte) TLC-approximately 07cell/cumm TLC-approximately 07cell/cumm.CBC investigations : RBC count -4.73, WBC count-4000, total platelet count-0.16,Hb percent -12.3, MCHC-34.2,MCV-76, MCH-26, RBC count -4.73, WBC count-4000, total platelet count-0.16Peripheral smear :-RBCs: Hypochromic normocytic RBCs with occaissional metocytic RBCs.Platelets According to the cell counter, APC 16.000 cells mm3 were reduced on smear.AEC-400 cells have no hemoparasites.Therapeutic intervention :-1 gm solmedral IV in 100 mL NS inj (OD).T. AKT 41 kit thrice a day, inj pantacid 40 mg IV OD, inj 4 mg IV TDS, T. Benadon 40 mg 12 OD.Outcome :-Patient is able to move her neck somewhat, the scar has gone, and she has maintained her fluid and electrolyte balance. Conclusion:-The focus of this study is on medical management and how excellent nursing care helped to avert additional problems.The patient response to treatment has been generally favourable.