Intramedullary
Tuberculomas of Cervical
Spinal Cord in a Young Immunocompetent
Patient: A Case Report
Published: October 1, 2011 | DOI: https://doi.org/10.7860/JCDR/2011/.1562
Seshu Lakshmi Borra, Venkata Umakant Kodali, Mallikarjuna Rao Sanda, Rajeev Donepudi, Surendra Babu M.
Associate professor
Department of Radio-diagnosis
Mamata medical college
Khammam, Andhra Pradesh, India.
Assistant Professor
Department of General medicine
Mamata medical college
Khammam, Andhra Pradesh, India.
Assistant professor
Department of General medicine
Mamata medical college
Khammam, Andhra Pradesh, India.
Post graduate-final year
Department of Radio-diagnosis
Mamata medical college
Khammam, Andhra Pradesh, India.Post graduate-final year
Department of General medicine
Mamata medical college
Khammam, Andhra Pradesh, India.
Correspondence
Venkata Umakant Kodali
Staff Qtrs, Godavari – 3,
Mamata General Hospital,
Giriprasad Nagar, Khammam – 507002
Andhra Pradesh, India.
Mobile: +919866181162
Res: 08742228302
Office: 08742-235160
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.
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