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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

Summary

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.

Keywords:

intramedullary spinal tuberculoma

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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.

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.