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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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