Intramedullary tuberculoma with syringomyelia.
Intramedullary tuberculoma with syringomyelia is rare. We treated a woman with back pain and weakness of the left leg that had slowly progressed for more than 30 years. Radiologic evaluation demonstrated a crescent-shaped calcification at the level of the C6 vertebra, and syringomyelia from C7 to T9. Laminectomy and syringosubdural shunt placement were performed, and a tuberculoma was removed. Back pain resolved after the operation, and mobility was facilitated. We recommend surgery for intrathecal tuberculoma with syringomyelia even when the course has been prolonged with no active tuberculous lesion.
Kobayashi
Rieko
R
Department of Neurology, Yamanashi Medical University, Yamanashi, Japan.
Togashi
Shinji
S
Nagasaka
Takamura
T
Shindo
Kazumasa
K
Shiozawa
Zenji
Z
Yamada
Hiroshi
H
Hashizume
Yoshio
Y
D002574:Cervical Vertebrae / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000175:diagnosis*; D013595:Syringomyelia / Q000175:diagnosis* / Q000209:etiology; D014375:Tuberculoma / Q000150:complications / Q000175:diagnosis*