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Tumor of the conus medullaris treated with antituberculous therapy

Journal article
Authors Thomas Skoglund
Daniel Nilsson
Published in Clin Neurol Neurosurg
Volume 109
Issue 2
Pages 192-4
ISSN 0303-8467 (Print)
Publication year 2007
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Pages 192-4
Language en
Links www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Antitubercular Agents/*therapeutic use, Diagnosis, Differential, Drug Therapy, Combination, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Male, Mediastinoscopy, Neurologic Examination, Spinal Cord Compression/diagnosis/*drug therapy, Thoracic Vertebrae/pathology, Tomography, X-Ray Computed, Tuberculin Test, Tuberculosis, Lymph Node/diagnosis/drug therapy, Tuberculosis, Pulmonary/diagnosis/drug therapy, Tuberculosis, Spinal/diagnosis/*drug therapy
Subject categories Neurosurgery

Abstract

This case report concerns a 21-year-old man developing left leg paresis. Evaluation with magnetic resonance imaging (MRI) showed an intramedullary tumor in the conus region. He was planned for surgery but preoperative investigation indicated he had tuberculosis and the tumor was presumed to be a tuberculoma. Antituberculous therapy was started and the patient improved neurologically. The patient was followed clinically and with consecutive MRI during 2 years and the last MRI showed that the lesion had disappeared completely. Intramedullary tuberculomas are rare but important differential diagnosis in patients with spinal cord mass lesions. The role of medical and surgical treatment of intramedullary tuberculomas is discussed.

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