In this paper, a case is reported of intradural-extramedullary tuberculoma of the spinal cord which developed symptoms of spinal cord compression. Surgical removal of the lesion was followed by complete recovery.
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Cureus
December 2024
Department of Internal Medicine, Osmania Medical College, Hyderabad, IND.
Intramedullary spinal tuberculomas constitute a small percentage of spinal tuberculosis. These, in combination with brain tuberculomas, are an uncommon manifestation of central nervous system (CNS) tuberculosis. This report details a unique case of a 32-year-old retroviral disease-positive male who presented with a two-month history of symmetrical quadriparesis and recent seizures.
View Article and Find Full Text PDFSurg Neurol Int
December 2024
Department of Orthopedics, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India.
Background: Intradural extramedullary tuberculoma of the spinal cord (IETSC) is an exceedingly rare manifestation of tuberculosis (TB) affecting the central nervous system.
Case Description: A 33-year-old immunocompetent female with disseminated TB, including pulmonary involvement and leptomeningeal tuberculomas, developed progressive paraplegia and urinary incontinence over 2 months. Magnetic resonance imaging revealed diffuse intradural extramedullary soft tissue from C7 to L2 vertebral levels, indicative of abscess formation and severe spinal cord compression.
Radiol Case Rep
February 2025
Neuro-Vascular Research Lab, Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Spinal cord tuberculoma is a clinically significant form of extra-pulmonary tuberculosis, despite its rarity. It leads to considerable neurological deficits and morbidity. Accurate diagnosis and early intervention depend on radiologic imaging, typically MRI, which reveals T2 hypointensity with rim enhancement, forming a ``target sign'' characteristic of caseous stage tuberculoma.
View Article and Find Full Text PDFRadiol 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 PDFBMJ Case Rep
September 2024
Department of Nephrology, Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.
Tuberculosis (TB) is still a health problem in developing countries. Pulmonary involvement remains the most common clinical presentation. However, multiorgan involvement can be life-threatening.
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