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Intradural extramedullary tuberculoma mimicking en plaque meningioma
Dae Moo Shim1, Sung Kyun Oh, Tae Kyun Kim
1Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea.
Abstract:
A 24-year-old man with tuberculosis meningitis developed acute paraplegia and sensory disturbances 5 weeks after receiving conventional antituberculous therapy. Magnetic resonance imaging revealed an intradural extramedullary long segmental mass mimicking en plaque meningioma at the T2-T6 vertebrae levels. Prompt surgical decompression was performed. A histology examination of the mass revealed a tuberculoma. After surgery, the patient showed improved motor power and a normal bladder function. Intradural extramedullary tuberculoma of the spinal cord is rare complication of tuberculosis meningitis, which can occur as a response to conventional antituberculous therapy.
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