Surgery for expansion of spinal tuberculoma during antituberculous chemotherapy: a case report.

Abstract

We report a case of intramedullary spinal tuberculoma in a girl aged 2 years and 6 months. At the age of 18 months, the patient was hospitalized for 2 months with tuberculous meningitis. Tuberculomas then appeared in the thoracic spinal cord, and the patient developed paraparesis despite continuation of chemotherapy. Spinal magnetic resonance imaging demonstrated multiple ring-enhanced lesions in the cord on the T1-weighted image; on the T2-weighted image, the lesions had a bright core surrounded by a hypointense rim. Laminectomy and partial excision were performed, and the paraparesis improved. In addition to antituberculous chemotherapy and dexamethasone, surgical decompression was needed to treat the expansion of the spinal tuberculoma.

• Authors: S Nomura, T Akimura, T Kitahara, K Nogami, M Suzuki
• Journal: Pediatric neurosurgery (Pediatr Neurosurg) Vol. 35 Issue 3 Pg. 153-7 (Sep 2001) ISSN: 1016-2291 [Print] Switzerland
• PMID: 11641626 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright 2001 S. Karger AG, Basel

Chemical References

• Antitubercular Agents

Topics

• Antitubercular Agents (therapeutic use)
• Child, Preschool
• Combined Modality Therapy
• Decompression, Surgical
• Female
• Humans
• Laminectomy
• Magnetic Resonance Imaging
• Thoracic Vertebrae (pathology, surgery)
• Tuberculoma (drug therapy, pathology, surgery)
• Tuberculosis, Spinal (drug therapy, pathology, surgery)