Intramedullary tuberculoma of the spinal cord with syringomyelia.
We describe a patient with a presumed intramedullary tuberculoma treated only with antituberculous therapy. MRI showed a ring-enhancing annular lesion in the thoracic spinal cord with a distant syringomyelic cavity, which improved after therapy. MRI in this case allowed us not only to achieve a presumptive diagnosis but also to assess the therapeutic response, making surgical exploration unnecessary.
Sánchez Pernaute
R
R
Department of Neurology, University Hospital Marqués de Valdecilla, Santander, Spain.
Berciano
J
J
Rebollo
M
M
Pascual
J
J
D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D007538:Isoniazid / Q000008:administration & dosage; D008279:Magnetic Resonance Imaging; D008297:Male; D011718:Pyrazinamide / Q000008:administration & dosage; D013307:Streptomycin / Q000008:administration & dosage; D013595:Syringomyelia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D014375:Tuberculoma / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014399:Tuberculosis, Spinal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents; D011718:Pyrazinamide; D007538:Isoniazid; D013307:Streptomycin