Intramedullary cervical tuberculoma.
METHODS
Case report.


OBJECTIVE
To report a rare lesion of intramedullary cervical tuberculoma.


METHODS
Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Chongqing, The People's Republic of China.


METHODS
A 15-year-old boy presented with pain in the neck and shoulder. Examination showed mild left hemiplegia and pinprink hyperalgesia on the left side up to C3 level. Chest X-ray and CT scan showed patch and dot lesions indicating old tuberculous lesions and MRI showed a ring-enhancing intramedullary lesion at C3/4 level. Tuberculoma resection and antituberculous therapy was given. There was satisfactory recovery clinically.


CONCLUSIONS
Intramedullary cervical tuberculoma is a rare, coexisting systemic tuberculosis and MRI scan helps in obtaining a correct diagnosis; combining surgery with anti-tuberculosis therapy is the treatment of choice.
Lin
J
J
Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Gaotanyan, Shapingba District, Chongqing, The People's Republic of China.
Feng
H
H
Ai
S
S
Wang
X
X
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D002574:Cervical Vertebrae; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013902:Radiography, Thoracic; D013118:Spinal Cord Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D014375:Tuberculoma / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D020306:Tuberculosis, Central Nervous System / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
D000995:Antitubercular Agents