Involvement of vertebral column is common in tuberculosis(TB) but intramedullary tuberculomas are rare. Spinal intramedullary tuberculoma are extremely rare, seen in only 2 of 100,000 cases of TB and 2 of 1000 cases of CNS TB Intramedullary tuberculomas normally respond well to conventional antituberculous medications, requiring surgery only occasionally. MRI is optimal diagnostic modality in intramedullary tuberculoma as it can show specific findings. This report describes a case of Intramedullary Tuberculoma of the Spinal Cord with clinical features and specific MRI findings with review of litreture.
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http://dx.doi.org/10.1016/j.ijtb.2019.03.007 | DOI Listing |
Radiol Case Rep
December 2024
Radiology Department-Chu Souss Massa, Faculty of Medicine and Pharmacy, University IBN Zohr Agadir, Morocco.
Neurological manifestations of tuberculosis remain rare, even if recent years have been marked by an increase in these pathologies, notably due to the HIV pandemic. Intramedullary tuberculoma remains an exceptional localization. Magnetic resonance imaging in diagnosing intramedullary tuberculoma and specific medical treatment are of great interest.
View Article and Find Full Text PDFExp Ther Med
June 2024
Department of Neurology, The Affiliated Changsha Central Hospital, University of South China, Changsha, Hunan 410000, P.R. China.
Radiol Case Rep
January 2024
Radiology Department, Rush University Medical Center, Chicago, IL, USA.
Tuberculosis (TB) is a bacterial infection with which primarily affects the lungs; however, it can affect any organ in the body. Brain tuberculous infection usually comes via hematogenous spread from a pulmonary focus and rarely via direct spread from ear, cranial vault or spine. It can present in various conditions including the following: tuberculous meningitis (TBM), brain or spinal cord tuberculoma, miliary TB, tuberculous abscess, tuberculous encephalopathy, and even intracranial hemorrhage.
View Article and Find Full Text PDFJ West Afr Coll Surg
March 2023
Department of Anatomic Pathology and Forensic Medicine, Jos University Teaching Hospital, Jos, Nigeria.
Background And Objective: Intramedullary tuberculoma (IMT) of the conus medullaris is an extremely rare tumour that constitutes a diagnostic and management challenge in a resource-limited setting. We report a case of conus medullaris, IMT in a young immunocompetent, patient with no prior clinical features of pulmonary or extra-pulmonary tuberculosis.
Case Summary: The patient presented with six months history of progressive and persistent mid back pain and slight weakness of both lower limbs of 3 months duration.
World Neurosurg
June 2023
Department of Neurosurgery, SUNY Upstate Medical University, New York, New York, USA; Department of Neurosurgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Background: Intramedullary spinal cord abscess (ISCA) is an extremely rare disease, which has had fewer than 250 reported cases since its initial description in 1830. The condition is limited to level V evidence, limiting the ability for surgeons to characterize and treat it.
Objective: To report the cases of 2 patients with ISCA and their surgical management: a 59-year-old woman who presented with progressive right hemiparesis and a 69-old man who presented with acute gait instability and significant bilateral shoulder pain.
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