Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/5649
Title: Intramedullary spinal tuberculoma presenting as a conus tumor: A case report and review of the literature
Authors: Süzer, Tuncer
Coşkun, Erdal
Tahta, K.
Bayramo?lu, H.
Düzcan, E.
Keywords: Intramedullary spinal tuberculoma
MRI
Spinal cord
Tuberculoma
Tuberculosis
adult
article
case report
clinical feature
histopathology
human
laminectomy
male
priority journal
spinal cord tumor
thoracolumbar spine
tuberculoma
Adult
Antitubercular Agents
Diagnosis, Differential
Humans
Laminectomy
Lumbosacral Region
Magnetic Resonance Imaging
Male
Medulla Oblongata
Spinal Cord Diseases
Spinal Cord Neoplasms
Abstract: Intramedullary spinal tuberculoma is a rare form of central nervous system tuberculosis. Although tuberculosis is unusual in the west, it is still prevalent in Asia and Africa. We report a case in which the diagnosis was made histologically without evidence of symptoms of systemic tuberculosis. The lesion, located in the conus medullaris, mimicked a conus tumor. The patient was a 20-year-old man who presented with a history of progressive leg weakness, urinary urgency, and impotence. There was no history of, or recent contact with, tuberculosis. A diagnosis of an intramedullary tumor in the conus medullaris was made by MRI. The patient underwent a T11-L1 laminectomy and total resection of the lesion with microsurgical technique. Histologic examination revealed a granulomatous lesion containing Langhans' giant cells, inflammatory cells, and caseating necrosis. Antituberculous medication was instituted as soon as the diagnosis was made. Neurologic symptoms and signs slowly improved postoperatively. A combination of microsurgical resection and antituberculous chemotherapy should be the choice of treatment for intramedullary tuberculomas.
URI: https://hdl.handle.net/11499/5649
https://doi.org/10.1007/s005860050050
ISSN: 0940-6719
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu

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