Tuberculous arachnoiditis is a noticeably not unusual reason of myeloradiculopathy in countries endemic for tuberculosis. The inflammatory exudate surrounds, but does now not infiltrate, the spinal cord and nerve roots. regularly, there is vascular involvement with peri-arteritis and occlusion of small vessels. Neuronal systems are damaged by means of direct compression as well as through ischaemia. The adjustments of arachnoiditis can be focal, multifocal, or diffuse. In tuberculous arachnoiditis features of spinal twine or nerve root involvement may additionally predominate but most usually there is a mixed image. regularly, there may be scientific evidence of multifocal radiculo myelopathy, but even if meningeal involvement is widespread, symptoms may additionally rise up from a unmarried stage. The hallmark of diagnosis is the characteristic myelographic photo, displaying terrible float of evaluation material with a couple of irregular filling defects, cyst formation, and every now and then spinal block. hardly ever, myelography can be normal. The CSF modifications are the ones of chronic meningitis, often CSF sugar concentration is everyday. from time to time lumbar faucet can be dry. those sufferers want ok anti-tuberculous treatment for as a minimum 12 months. The position of corticosteroids is unsure, but there are numerous reports of apparently marked improvement following corticosteroid administration. If the affected person does no longer reply to scientific remedy, surgical procedure may be required.