Journal of the Scientific Society (Jan 2015)

Spinal intramedullary tuberculoma: A rare cause of paraparesis

  • Bhautik V Tilva,
  • Karkal Ravishankar Naik,
  • Aralikatte Onkarappa Saroja,
  • Raviraj S Ghorpade

DOI
https://doi.org/10.4103/0974-5009.157052
Journal volume & issue
Vol. 42, no. 2
pp. 123 – 125

Abstract

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Spinal intramedullary tuberculoma is a rare cause of paraparesis. Clinical presentation is often nondistinctive in the absence of systemic tuberculosis. Magnetic resonance imaging reveals intramedullary granuloma with relatively distinct pattern with peripheral gadolinium enhancement resembling "target sign." Histolopathological evaluation is essential to differentiate it from other intramedullary lesions to offer curative treatment augmented by surgical excision. Early surgical intervention combined with anti-tubercular drugs yields good prognosis.

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