Syringomyelia and intradural extramedullary tuberculoma of the spinal cord as a late complication of tuberculous meningitis.
Intradural extramedullary (IDEM) tuberculomas account for only 1% of all spinal tuberculomas. Concurrent IDEM tuberculoma and syringomyelia arising as a complication of tuberculous meningitis (TM) is extremely rare and only two cases have been reported to date. There is yet no report in the literature describing syringomyelia presenting as a delayed complication of IDEM tuberculoma. Here we present such a case. A 21 year-old male patient underwent partial decompression for thoracolumbar IDEM tuberculoma as a late complication of tuberculous meningitis. Spinal magnetic resonance imaging (MRI) of the patient suffering from progression of paraparesia six months after the operation revealed a syringomyelia occupying the space from T1 to T9, remote from the operation site, and syringo-peritoneal shunt placement was performed.
Karaelmas University, Department of Neurosurgery, Zonguldak, Turkey. drsanser@yahoo.com
Sanser
S
Gul
Guven
G
Celebı
Murat
M
Kalayci
Bektas
B
Acikgoz
D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013595:Syringomyelia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014375:Tuberculoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000473:pathology / Q000601:surgery; D055815:Young Adult