Intramedullary
Tuberculomas of Cervical
Spinal Cord in a Young Immunocompetent
Patient: A Case Report
1111-1113
Correspondence
Venkata Umakant Kodali
Staff Qtrs, Godavari – 3,
Mamata General Hospital,
Giriprasad Nagar, Khammam – 507002
Andhra Pradesh, India.
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E-mail: venkatuk@yahoo.com
Spinal intramedullary tuberculosis is a rare form of tuberculosis. We report a rare case of intramedullary tuberculomas in cervical spinal cord in young immunocompetent patient with no evidence of tuberculosis elsewhere in the body. Magnetic Resonance Imaging (MRI) showed cervical cord edema and circumscribed lesions at C4-C5 level. The lesions showed conglomerate ring enhancement with central hypointensity on contrast enhanced MRI, suggestive of granulomatous etiology. Patient received anti-tuberculous treatment following which patient was symptom free and MRI showed complete resolution of the lesions. Intramedullary tuberculosis if diagnosed early, usually has good response to medical treatment preventing the need for surgical intervention.