J Korean Neurol Assoc.  2006 Feb;24(1):92-94.

A Case of Intradural, Extramedullary Tuberculous Granuloma Developed During the Treatment of Tuberculous Meningitis

• Lee YJ
• Park HY
• Chang H
• Kim YS
• Cho KH

Abstract

A 24-year-old man was treated with anti-tuberculous therapy after being diagnosed with tuberculous meningitis. However, he developed abrupt onset of weakness in the lower extremities. Thoracic spinal magnetic resonance imaging (MRI) showed a soft tissue mass, a compressed posterior spinal cord. A total resection of the intradural extramedullary mass was performed. A histological examination revealed the infiltration of inflammatory cells with granulomatous lesions. Intradural extramedullary tuberculous granuloma is rare, but must be considered in the differential diagnosis of spinal cord compression.

Keyword

Intradural extramedullary tuberculous granuloma; Spinal cord compression

MeSH Terms

Diagnosis, Differential
Granuloma*
Humans
Lower Extremity
Magnetic Resonance Imaging
Spinal Cord
Spinal Cord Compression
Tuberculosis, Meningeal*
Young Adult