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Spinal Epidural Tuberculoma with Adjacent Vertebral Fracture: A Case Report
Koutaro Kageshima1, Sota Nagai1, Soya Kawabata1
1Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Case:
An 85-year-old woman was transported to our institution due to difficulty in walking. Preoperative imaging showed spinal cord lesions indicative of spinal cord tumor at the T7-8 level, accompanied by T8 vertebral fracture. Intraoperatively, the spinal lesion was suspected to be an epidural abscess; therefore, the capsule was resected, and the abscess was drained. We added pedicle screw fixation at the T6-10 level. Postoperatively, the spinal cord lesion was definitively diagnosed as spinal epidural tuberculoma.
Conclusion:
Spinal epidural tuberculomas should be considered in the treatment of spinal cord lesions causing paralysis attributed to spinal cord compression.
