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Intra-medullary Tuberculomas: Case Series.

N Pradeep1, Raviraj Ghorpade1, Ravishankar Naik1

  • 1Department of Neurosurgery, Jawaharlal Nehru Medical College, Nehru Nagar, India.

International Journal of Spine Surgery
|April 6, 2017
PubMed
Summary
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Intramedullary spinal tuberculoma is a rare condition mimicking other spinal lesions. Surgical removal and histopathological evaluation are crucial for diagnosis and effective treatment of this rare spinal tuberculosis form.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Oncology

Background:

  • Intramedullary spinal tuberculoma is exceptionally rare, especially compared to other forms of tuberculosis.
  • Its clinical presentation can be non-specific, often resembling other intramedullary lesions when systemic tuberculosis is absent.

Purpose of the Study:

  • To report two cases of intramedullary spinal tuberculoma.
  • To highlight the diagnostic and therapeutic challenges posed by this rare condition.

Main Methods:

  • Case report of two patients with intramedullary spinal tuberculoma.
  • Surgical excision of the lesions.
  • Post-operative neurological assessment.
  • Histopathological examination for definitive diagnosis.
Keywords:
intramedullaryspinaltuberculoma

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Main Results:

  • Both patients presented with symptoms indicative of space-occupying lesions within the spinal cord.
  • Neurological improvement was observed in both cases after surgical excision.
  • Histopathology confirmed the diagnosis of tuberculoma.

Conclusions:

  • Intramedullary spinal tuberculoma, though rare, should be considered in the differential diagnosis of intramedullary lesions.
  • Surgical excision is an effective treatment modality.
  • Histopathological evaluation is essential for accurate diagnosis and guiding curative treatment.