2025 ICD-10-CM code A17.83
(Active) Effective Date: N/A Infectious and Parasitic Diseases - Tuberculosis of nervous system Certain infectious and parasitic diseases (A00-B99) Feed
Tuberculous neuritis, also known as tuberculous mononeuropathy, is a form of tuberculosis affecting the nervous system. It causes inflammation of a single nerve or nerve group.
Medical necessity for treatment is established by confirming the diagnosis of tuberculous neuritis through appropriate diagnostic testing and clinical evaluation. The treatment aims to address the underlying TB infection and manage the neurological symptoms, preventing further complications.
Clinicians diagnose tuberculous neuritis through CSF analysis, tuberculin skin tests, patient history, and potentially imaging studies like MRI or CT scans. Treatment includes anti-tuberculosis medications, often alongside steroids to manage inflammation. Surgical intervention might be required for complications such as tuberculomas or abscesses.
In simple words: Tuberculous neuritis is a nerve problem caused by tuberculosis. It can make the affected area painful, swollen, numb, or weak. Doctors diagnose it with tests and treat it with antibiotics and other medications.
Tuberculous neuritis is a manifestation of tuberculosis (TB) of the nervous system caused by Mycobacterium tuberculosis.It leads to inflammation of a single nerve or nerve group, which can occur even with appropriate antitubercular therapy. Symptoms may include local pain and swelling at the affected nerve site, paresthesia (pins and needles sensation), paresis (weakness), numbness, focal neurological deficits, behavioral changes, and altered mental status. Diagnosis is based on cerebrospinal fluid (CSF) analysis for M. tuberculosis, tuberculin skin test, and history of TB. Imaging studies like MRI or CT may be used. Treatment involves antituberculous chemotherapy, typically starting with isoniazid, rifampin, rifabutin, pyrazinamide, and ethambutol.Steroid therapy may be used to reduce inflammation, and surgery might be necessary for tuberculomas or abscesses.
Example 1: A patient with a history of TB presents with localized nerve pain, numbness, and weakness. CSF analysis confirms the presence of M. tuberculosis, leading to a diagnosis of tuberculous neuritis., A patient undergoing TB treatment develops new-onset nerve pain and sensory changes.Despite adhering to the medication regimen, the symptoms persist, prompting further investigation and a diagnosis of tuberculous neuritis., A patient presents with focal neurological deficits and altered mental status.Imaging reveals a tuberculoma affecting a specific nerve, and subsequent tests confirm active TB, establishing the diagnosis of tuberculous neuritis.
Documentation should include evidence from diagnostic tests (CSF analysis, tuberculin skin test), imaging studies (if performed), patient history (including prior TB diagnosis or treatment), physical exam findings (neurological deficits, sensory changes), and treatment plan.
- Specialties:Infectious Disease, Neurology
- Place of Service:Inpatient Hospital, Outpatient Hospital