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Concurrent intramedullary spinal cord and intracranial tuberculomas
Farheen Niazi1, Mazhar Badshah, Muhammad Irshad
1Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad. niazi_farheen@yahoo.com
Summary
Concurrent intracranial and intramedullary tuberculomas are extremely rare. This case highlights complete recovery in a young girl with these rare neurological manifestations of tuberculosis using standard anti-tuberculosis drugs and steroids.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) frequently affects the central nervous system.
- Intramedullary tuberculoma of the spinal cord is a rare manifestation.
- Concurrent cranial and spinal cord tuberculomas are exceptionally uncommon.
Observation:
- A young girl presented with paraplegia and a T6 sensory level.
- MRI revealed an intramedullary tuberculoma at T6.
- Cranial imaging showed multiple intracranial tuberculomas.
Findings:
- The patient experienced complete recovery without surgery.
- Treatment involved anti-tuberculosis drugs (ATT) and steroids.
- Follow-up MRI demonstrated significant resolution of lesions.
Implications:
- This case underscores the possibility of concurrent cranial and intramedullary tuberculomas.
- Non-surgical management with ATT and steroids can be effective.
- Highlights the importance of comprehensive neuroimaging in suspected CNS TB.
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