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Intramedullary tuberculous abscess: a case report

M Hanci1, A C Sarioglu, M Uzan

  • 1Department of Neurosurgery, University of Istanbul, Turkey.

Spine
|March 15, 1996
PubMed
Summary
This summary is machine-generated.

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This case report details a rare spinal cord abscess caused by Mycobacterium tuberculosis in a child. Prompt surgical drainage and antituberculosis chemotherapy led to an excellent clinical outcome.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Spinal cord abscesses and tuberculomas are rare, often mimicking neoplasms.
  • A high index of suspicion is crucial for diagnosing tubercular spinal masses, especially with atypical clinical histories.

Observation:

  • A 7-year-old boy presented with chronic progressive paraparesis and hypesthesia below T10.
  • The patient was diagnosed with an intramedullary thoracic spinal cord abscess secondary to Mycobacterium tuberculosis.

Findings:

  • Surgical intervention involved a T7-T8 hemilaminectomy with drainage of pus via myelotomy.
  • Post-operative treatment included antituberculosis chemotherapy.

Implications:

  • Combined surgical evacuation and chemotherapy yield excellent outcomes for spinal cord abscesses.

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  • Early diagnosis and treatment are vital for favorable prognoses, even with severe neurological deficits.