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Related Experiment Videos

Intramedullary spinal tuberculoma--case report.

Hiroaki Torii1, Toshiyuki Takahashi, Hiroaki Shimizu

  • 1Department of Neurosurgery, Kohnan Hospital, Sendai, Miyagi, Japan.

Neurologia Medico-Chirurgica
|June 18, 2004
PubMed
Summary

A rare case of spinal cord tuberculoma in a healthy adult was successfully treated with surgical resection. This highlights the importance of considering tuberculosis in spinal cord compression diagnoses.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Intramedullary spinal tuberculoma is an uncommon manifestation of tuberculosis.
  • Spinal cord compression symptoms include progressive paraparesis and sphincter dysfunction.

Observation:

  • A healthy 33-year-old man presented with progressive paraparesis and sphincter dysfunction.
  • MRI revealed a ring-enhancing intramedullary thoracic lesion with edema.
  • Tuberculin skin test was positive, but other signs of inflammation were absent.

Findings:

  • Surgical resection via T11-12 laminectomy and posterior myelotomy was performed.
  • Histopathology confirmed a granulomatous lesion with caseating necrosis and Mycobacterium tuberculosis.
  • Postoperative recovery showed significant improvement in neurological deficits.

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Implications:

  • Intramedullary spinal tuberculoma, though rare, is a crucial differential diagnosis for spinal cord compression.
  • Early diagnosis and surgical intervention can lead to favorable outcomes.
  • This case underscores the need for a high index of suspicion for tuberculosis in spinal pathologies.