Intradural Extramedullary Tuberculoma of the Spinal Cord Following Tuberculous Meningitis

Korean J Spine. 2015 Jun;12(2):107-10. doi: 10.14245/kjs.2015.12.2.107. Epub 2015 Jun 30.

Abstract

Intradural extramedullary tuberculoma of the spinal cord (IETSC) is an uncommon disease which can occurs secondary to tuberculous meningitis. A 31-year-old woman was diagnosed as tuberculous meningitis after mental disorientation. Her mentality was recovered after antituberculous therapy. After 7 months of antituberculous therapy, paraplegia has developed. Magnetic resonance imaging (MRI) revealed a mass lesion between the T1 and T12 spinal levels with arachnoid thickening which results in the development of tuberculoma. She received surgical resection of IETSC followed by antituberculous therapy and neurological function has been improved. The two years after surgical treatment, spinal MRI showed syringomyelia between T1 to L1. But, her neurological outcome was not aggravated.

Keywords: Meningeal tuberculosis; Syringomyelia; Tuberculoma.