Patient: Description of the condition (onset time, main symptoms, hospital, etc.): My father was 14 years old when he had tuberculous encephalitis, and then he never saw it, and 10 years ago he found out that it was caused by this, and then he was cured, but after two years he found out that he had induced a spinal cavity, and because there were nerves nearby, the hospital always recommended not to do drainage, and then he kept dragging, and then he had numbness in his hands and feet without feeling, and he couldn’t walk freely. The week before last, I found out that I was incontinent, and was found to have hydronephrosis and nephrolithiasis, and now I have completely lost the sense of walking. The tuberculosis is cured, but the cavity in the spinal cord is not cured. What kind of help do you want: Control the disease, do not deteriorate, and be healthy. Doctor: The development pattern of spinal cord cavity is: ¤ early stage: sensory damage ¤ middle stage: combined with motor damage ¤ late stage: muscle atrophy, when the posterior cord is involved, then the corresponding deep sensory impairment lesions Involvement of the lateral cord, the lower limbs can have symmetrical or asymmetrical spastic light paralysis, hyperreflexia, plantar reverse extension. In advanced stages, Horner’s sign may appear, which is the result of injury to sympathetic neurons within the central lateral cell column. End-stage ¤ bladder and rectal sphincter dysfunction The spread to the medulla oblongata causes dysphagia, atrophic paralysis of the tongue muscles, and nystagmus, and this type is easily life-threatening. Therefore, according to your case, it should be a spinal cord cavity causing severe neurological damage, and a cavity bypass surgery can be performed surgically under the condition of tuberculosis control. Patient: Thank you, doctor. It’s scary, I registered for your specialist number this afternoon, I’ll consult you to see if there is a way to treat it, mainly because there are nerves on the spinal cord side. Doctor: Sorry, I don’t have a clinic. Patient: I know, I purposely registered for your number on Wednesday afternoon, but after waiting for half a day, the doctor finally told me: “You can’t leave in the operating room above, so I asked him to come and sit for you.” But still, thank you, Director Wang. Patient: How can I see you in the future, if you don’t sit in the clinic? Doctor: Usually there is a clinic on Wednesday, remember to bring the film, if the patient can not come. Patient: Okay, I will go back to the hospital this week to get your number, thank you. Doctor: The patient has been seen and can be treated further. Patient: See this doctor: May 2010 Tests done, results and treatment plan given: MRI What else do you need: Patient: Hello, Director Wang! My father always gets dizzy in the morning lately, how can it be ah? Doctor: After tuberculous encephalitis, the patient’s cerebrospinal fluid circulation dysfunction, hydrocephalus and spinal cord cavitation, treatment is more complex, your father at that time we consider the disease duration is long, the symptoms are very significant, all kinds of treatment have advantages and disadvantages, but are difficult to completely cure, after full discussion and consultation, consider the ventriculoperitoneal shunt surgery, the efficacy of the surgery may not be as good as the cavitation shunt surgery, but the risk is relatively small, and It has been 1 year since the surgery, but the overall treatment purpose has been achieved and the disease has not deteriorated.