Intramedullary thoracic tuberculoma

Y. D. Liu, F. Y. Wang, J. M. Xu, Y. Guan, H. Guan

Research output: Contribution to journalArticle

Abstract

Study design: Case report. Objective: To report a rare case of intramedullary thoracic tuberculoma. Setting: China Rehabilitation Research Center, Beijing, China. Case report: A 42-year-old Chinese man presented with the complaints of weakness of the lower extremities and urinary retention. Neurological examinations confirmed the motor dysfunction of the lower extremities and hypesthesia in areas below the T8 dermatome. Results from laboratory studies were normal and X-ray over the chest and thoracolumbar spine showed no signs of tuberculosis. However, the magnetic resonance imaging (MRI) scan detected a ring-enhancing intramedullary lesion at the T6-7 intervertebral level. The condition was diagnosed as intramedullary glioma. A neurosurgical resection was carried out, and the pathological examination following the surgery confirmed the tubercular lesion. The patient was treated with antituberculous therapy after the surgery and resulted in a satisfactory recovery. Conclusion: Intramedullary spinal tuberculoma (IMT) is rare, and the diagnosis for IMT is often difficult and inconclusive, especially in patients without symptoms of systemic tuberculosis. Although the management of IMT remains challenging, our report suggests that the combination of microsurgical resection and antituberculous chemotherapy may represent an effective treatment strategy for IMT.

Original languageEnglish (US)
Pages (from-to)80-82
Number of pages3
JournalSpinal Cord
Volume48
Issue number1
DOIs
StatePublished - Jan 1 2010

Keywords

  • Intramedullary lesion
  • Tuberculoma

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Liu, Y. D., Wang, F. Y., Xu, J. M., Guan, Y., & Guan, H. (2010). Intramedullary thoracic tuberculoma. Spinal Cord, 48(1), 80-82. https://doi.org/10.1038/sc.2009.58