Clinical Profile: Young patient with quadriparesis, low grade fever and weakness worsened after delivery





Imaging: CEMR shows diffuse leptomeningeal enhancement involving the cervicodorsal cord with plaque like enhancement over the spinal cord. There is evidence of prominent CSF space in the upper cervical anteriorly which shows surrounding enhancement and displacement /thinning of cervical cord posteriorly. Cervicomedullary junction appears distorted. There is cord swelling involving the lower cervical and dorsal cord with prominent central T2 hyperintense signal.





These findings possibly indicate ?tubercular meningitis-brain and spine with arachnoiditis and dilated anterior CSF space, with associated spinal cord edema with syringomyelia. Needs clinical and CSF correlation.











