Intradural extramedullary tuberculoma mimicking en plaque meningioma.
A 24-year-old man with tuberculosis meningitis developed acute paraplegia and sensory disturbances 5 weeks after receiving conventional antituberculous therapy. Magnetic resonance imaging revealed an intradural extramedullary long segmental mass mimicking en plaque meningioma at the T2-T6 vertebrae levels. Prompt surgical decompression was performed. A histology examination of the mass revealed a tuberculoma. After surgery, the patient showed improved motor power and a normal bladder function. Intradural extramedullary tuberculoma of the spinal cord is rare complication of tuberculosis meningitis, which can occur as a response to conventional antituberculous therapy.
Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea.
Dae Moo
DM
Shim
Sung Kyun
SK
Oh
Tae Kyun
TK
Kim
Soo Uk
SU
Chae
D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis*; D008579:Meningioma / Q000175:diagnosis*; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000601:surgery; D013904:Thoracic Vertebrae; D014375:Tuberculoma / Q000175:diagnosis* / Q000601:surgery; D014390:Tuberculosis, Meningeal / Q000175:diagnosis* / Q000601:surgery; D055815:Young Adult