Spinal intramedullary tuberculoma: A rare cause of paraparesis

Abstract

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.

Keywords

• Magnetic resonance imaging
• paraparesis
• spinal cord
• tuberculoma