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MR imaging of tuberculous spondylitis
E Van de Kelft1, M Van Vyve, P M Parizel
1Department of Neurosurgery, Universitair Ziekenhuis Antwerpen, Edegem, Belgium.
Journal Belge De Radiologie
|June 1, 1992
Summary
This case report details a patient with leg weakness due to spinal epidural tuberculoma. Prompt diagnosis and multi-drug treatment led to a full recovery, highlighting effective tuberculosis management.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Spinal epidural tuberculoma is a rare manifestation of tuberculosis.
- Progressive paresis can be a presenting symptom.
Observation:
- A patient presented with progressive leg paresis.
- Thoracic X-ray suggested miliary tuberculosis.
- MRI revealed thoracic spinal cord compression.
Findings:
- Surgical laminectomy confirmed spinal epidural tuberculoma.
- Treatment with isoniazid, rifampicin, and pyrazinamide was initiated.
Implications:
- Early diagnosis and surgical intervention are crucial for spinal epidural tuberculoma.
- Effective anti-tuberculosis chemotherapy leads to complete neurological recovery.