Primary Intramedullary Tuberculoma of The Spinal Cord Mimicking To Spinal Cord Tumor
Journal Title: Journal of Neurological Sciences-Turkish - Year 2006, Vol 23, Issue 1
Abstract
Intramedullary spinal tuberculomas are a rare cause clinical entity of spinal cord compression. Eight intramedullary tuberculomas including the present case have been described recently located thoracic region. We report a case who had an intramedullary spinal cord tuberculoma in which the diagnosis was made histologically, without evidence of symptoms of systemic tuberculosis. This lesion, located thoracic intramedullary tuberculoma, mimicked an intramedullary tumor as radiologically. A patient was 72-year-old woman who presented with a history of progressive paraparesia. First diagnosis was made as intramedullary tumor by MRI. The significance and the use of magnetic resonance imaging (MRI) in the diagnosis of intramedullary tuberculoma, and the treatment of the patient that involves surgically the excision of intramedullary lesion followed by appropriate antituberculous therapy. This case is the oldest among the ones who have been published operated cases since 1960. Postoperatively, her neurological symptoms were parsially improved. With combination of both medical and surgical treatments, excellent clinical outcome was obtained after two years. In conclusion, this case illustrates the risk of misdiagnosis with this assay and the importance of histological confirmation of a pathological lesion prior to surgical therapy, it should be kept in mind the differential diagnosis of the intrameduller spinal dord tumors.
Authors and Affiliations
Kadir KOTIL, Necmettin GUZEL
Keywords
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