title: [A conus medullaris tuberculoma: a case report and literature review].
abstract: BACKGROUND
  Tuberculosis affecting the central nervous system is well recognized, but only rarely localizes to the medullary conus.
  
  
  METHODS
  We report the case of a 69 year old man who was admitted to our unit with cauda equina syndrome. The MRI demonstrated ring-enhanced necrotizing lesions involving the medullary conus, the cervical cord and the brain. His chest CT scan showed a miliary infiltrate. The clinical presentation was associated with an inappropriate secretion of antidiuretic hormone. Quadruple antituberculous therapy was initiated, with corticosteroids in the initial phase of the treatment. Evolution was favorable, and follow-up MRI imaging demonstrated complete resolution of the cervical cord and brain lesions.
authors.affiliation: Service de Pneumologie, Nouvel Hôpital Civil, 1 Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: M
authors.initials: M
authors.lastname: Agossou
authors.forename: I
authors.initials: I
authors.lastname: Gargouri
authors.forename: A
authors.initials: A
authors.lastname: Holveck
authors.forename: C P
authors.initials: CP
authors.lastname: Dimitriu
authors.forename: P
authors.initials: P
authors.lastname: Fraisse
authors.forename: E
authors.initials: E
authors.lastname: Quoix
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001921:Brain / Q000382:microbiology; D002574:Cervical Vertebrae / Q000382:microbiology; D004359:Drug Therapy, Combination; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000209:etiology; D008159:Lumbar Vertebrae / Q000382:microbiology; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D012074:Remission Induction; D013117:Spinal Cord Compression / Q000209:etiology*; D014375:Tuberculoma / Q000150:complications* / Q000188:drug therapy; D020306:Tuberculosis, Central Nervous System / Q000150:complications; D014390:Tuberculosis, Meningeal / Q000188:drug therapy / Q000209:etiology; D014391:Tuberculosis, Miliary / Q000000981:diagnostic imaging / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000188:drug therapy
chemical_list: D000305:Adrenal Cortex Hormones; D000995:Antitubercular Agents