Study in the Therapy of Transverse Myelitis Occurring During Tuberculous Meningitis

¹ Director, 8th Clinic Hospital Sanatorium Sotiria.

1. In a considerable number of cases of tuberculous meningitis, transverse myelitis may occur and localization of bacilli in the medulla spinalis is primarily due to direct extension.

2. Myelitis appears in cases of prolonged and incomplete therapy of tuberculous meningitis and mainly when intraspinal injections of streptomycin have been administered for a long time.

3. Sulfone J.51 has a considerable therapeutic effect on meningomyelitis, and especially when administered before complete degeneration and necrosis of a spinal segment.

4. Histologic changes of myelitis consist of degenerative and necrotic changes of white and grey matter, accompanied by development of tubercles as well as extensive changes in the subarachnoid cavity vessels.