title: Intramedullary tuberculoma of the conus medullaris: case report and review of the literature.
abstract: OBJECTIVE
  To illustrate the dilemmas in the diagnosis and management of intramedullary tuberculomas of the spinal cord.
  
  
  METHODS
  Case report of a 32 year-old man with tuberculous meningitis. The presence of unexplained urinary retention and progressive weakness in the legs led to the discovery of an additional tuberculoma of the conus medullaris.
  
  
  METHODS
  Dicle University Diyarbakir, Turkey.
  
  
  RESULTS
  The patient was on a 1-year course of isoniazid, pyrazinamide and rifampicin, and responded well to conservative treatment. Our patient's unique features were represented by the worsening of neurological symptoms while being treated with adequate anti-tuberculous medication.
  
  
  CONCLUSIONS
  We present a case of intramedullary tuberculoma of the conus medullaris to illustrate the dilemmas in the diagnosis and management of this curable disease, and review of the literature to date.
authors.affiliation: Department of Neurosurgery, School of Medicine, Dicle University, 21100 Diyarbakir, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Kemaloğlu
authors.forename: A
authors.initials: A
authors.lastname: Gür
authors.forename: K
authors.initials: K
authors.lastname: Nas
authors.forename: R
authors.initials: R
authors.lastname: Cevik
authors.forename: H
authors.initials: H
authors.lastname: Büyükbayram
authors.forename: A J
authors.initials: AJ
authors.lastname: Saraç
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014375:Tuberculoma / Q000175:diagnosis* / Q000628:therapy*; D014390:Tuberculosis, Meningeal / Q000150:complications*; D014399:Tuberculosis, Spinal / Q000175:diagnosis* / Q000628:therapy*; D016055:Urinary Retention / Q000209:etiology
chemical_list: D000995:Antitubercular Agents