Disseminated tuberculomas in spinal cord and brain demonstrated by MRI with gadolinium-DTPA.
Intramedullary tuberculoma is rare, and there has been no report of concurrent intramedullary and intracerebral tuberculomas. We report a 30-year-old man with miliary tuberculosis of the lung. He suffered sudden paraplegia due to tuberculomas in the thoracic spinal cord and MRI showed more tuberculomas in the cervical spinal cord, brain stem, and cerebral and cerebellar hemispheres. The tuberculomas were isointense on the T1-weighted images, and hyperintense on the T2-weighted images; there was marked enhancement with intravenous gadolinium-DTPA. All the tuberculomas were very small 1 year after antituberculous chemotherapy.
Shen
W C
WC
Department of Radiology, Taichung Veterans General Hospital, Taiwan.
Cheng
T Y
TY
Lee
S K
SK
Ho
Y J
YJ
Lee
K R
KR
D000328:Adult; D001933:Brain Stem / Q000473:pathology; D002526:Cerebellar Diseases / Q000175:diagnosis; D002540:Cerebral Cortex / Q000473:pathology; D003287:Contrast Media; D005682:Gadolinium; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009942:Organometallic Compounds; D004369:Pentetic Acid; D011859:Radiography; D013118:Spinal Cord Diseases / Q000175:diagnosis*; D014375:Tuberculoma / Q000175:diagnosis*; D016862:Tuberculoma, Intracranial / Q000175:diagnosis*; D014391:Tuberculosis, Miliary / Q000000981:diagnostic imaging; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D005682:Gadolinium; D019786:Gadolinium DTPA