Tuberc Respir Dis.  2000 Aug;49(2):237-245. 10.4046/trd.2000.49.2.237.

A Case of intramedullary spinal tuberculoma and multiple brain tuberculoma associated with pulmonary tuberculosis

• Lee HJ
• Kim CT
• Cho DI
• Rhu NS
• Cho PZ

• KMID: 2160274
• DOI: http://doi.org/10.4046/trd.2000.49.2.237

Abstract

Tuberculomas in the spine are estimated to be 15 to 50 times less common than those occurring in the cranium. We experienced a case of intramedullary spinal tuberculoma and brain tuberculoma associated with pulmonary tuberculosis. A 39-year-old male was referred to the National Medical Center via emergency room because of urinary difficulty and lower limb weakness for 3 days. He had been treated with anti-tuberculosis regimens against pulmonary tuberculosis for 20 days. Spinal MRI revealed intradural intramedullary tuberculoma at T5. On the 21st day at the hospital, a generalized seizure attacked him. Brain MRI revealed multiple tuberculoma in both hemispheres, brainstem and cerebellum. He was treated anti-tuberculosis regimens and corticosteroids for 9 months. His condition improved clinically and radiologically. We report this case with a review of the literature.

Keyword

Intramedullary spinal tuberculoma; Brain tuberculoma; MRI

MeSH Terms

Adrenal Cortex Hormones
Adult
Brain Stem
Brain*
Cerebellum
Emergency Service, Hospital
Humans
Lower Extremity
Magnetic Resonance Imaging
Male
Seizures
Skull
Spine
Tuberculoma*
Tuberculosis, Pulmonary*
Adrenal Cortex Hormones