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Updated: Sep 27, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Spinal intramedullary tuberculoma and abscess: a rare cause of paraparesis
B Indira Devi1, S Chandra, S Mongia
1Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore - 560 029, India. bindira@nimhans.kar.nic.in
Abstract:
Five cases of spinal intramedullary tuberculomas (IMT) and one case of spinal intramedullary tuberculous abscess (ITA) are presented. Gd enhanced MRI revealed ring enhancing lesion with central hypodensity, suggesting granulomatous pathology. Surgical excision of the intramedullary lesions was carried out in four cases, while two patients received presumptive anti-tuberculous chemotherapy only. Repeat MRI after completion of anti-tuberculous therapy showed total resolution of the lesion. In other cases following surgical excision, the patients improved significantly. The management of these rare lesions is discussed and the literature reviewed.
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