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Case Reports
. 2010 Dec;2(4):260-3.
doi: 10.4055/cios.2010.2.4.260. Epub 2010 Nov 5.

Intradural extramedullary tuberculoma mimicking en plaque meningioma

Dae Moo Shim  1 , Sung Kyun Oh, Tae Kyun Kim, Soo Uk Chae
Affiliations
Case Reports

Intradural extramedullary tuberculoma mimicking en plaque meningioma

Dae Moo Shim et al. Clin Orthop Surg. 2010 Dec.

Abstract

A 24-year-old man with tuberculosis meningitis developed acute paraplegia and sensory disturbances 5 weeks after receiving conventional antituberculous therapy. Magnetic resonance imaging revealed an intradural extramedullary long segmental mass mimicking en plaque meningioma at the T2-T6 vertebrae levels. Prompt surgical decompression was performed. A histology examination of the mass revealed a tuberculoma. After surgery, the patient showed improved motor power and a normal bladder function. Intradural extramedullary tuberculoma of the spinal cord is rare complication of tuberculosis meningitis, which can occur as a response to conventional antituberculous therapy.

Keywords: En plaque meningioma; Spinal cord; Tuberculoma.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
T2-weighted sagittal (A) and enhanced T1-weighted sagittal (B) section of magnetic resonance imaging scan of a thoracic spine,showing an intradural extramedullary mass extending from T2 through T6 and compressing the spinal cord.
Fig. 2
Fig. 2
Photomicrograph shows chronic granulomatous inflammation with neutrophil infiltrate under low and high magnification (A, H&E × 200; B, H&E × 400).
Fig. 3
Fig. 3
Postoperative 3 month follow-up magnetic resonance imaging scan of the thoracic and lumbar regions. Laminectomy state of thoracic spine (A). Typical finding of tuberculosis spondylitis L5-S1 with multiple abscess (B).
See this image and copyright information in PMC

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