Korean J Spine.  2011 Dec;8(4):295-299. 10.14245/kjs.2011.8.4.295.

Long-term Sequela of Intradural Extramedullary Tuberculoma in the Thoracic Dorsal Spinal Cord: Case Report and Review of the Literature

Affiliations
  • 1Department of Neurosurgery, Seoul National University College of Medicine, Bundang Hospital, Seongnam-si, Korea.
  • 2Department of Neurosurgery, Seoul Paik Hospital, Inje University, Seoul, Korea. jyj0819@gmail.com

Abstract

A 45-year old man, who had tuberculosis five years ago presented with paresthesia, decreased proprioception, and gait disturbance in the lower extremity which were aggravated for a month. Magnetic resonance imaging revealed the T3-7 intradural extramedullary fibrotic mass with dark signal intensity on T2-weighted images. The yellowish material in the thick fibrous mass was confirmed as caseous necrosis. Two days after the operation, the symptoms improved. Although quite rare, intradural extramedullary tuberculoma should be considered as a chronic sequel of the previous medical history of pulmonary tuberculosis or tuberculous meningitis.

Keyword

Intradural extramedullary; Tuberculoma

MeSH Terms

Gait
Lower Extremity
Magnetic Resonance Imaging
Necrosis
Paresthesia
Proprioception
Tuberculoma
Tuberculosis
Tuberculosis, Meningeal
Tuberculosis, Pulmonary
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