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Case Reports
. 2024 Sep 12;19(12):5809-5812.
doi: 10.1016/j.radcr.2024.08.051. eCollection 2024 Dec.

Intramedullary cervical spinal cord tuberculoma: A rare cause of paraparesis

Fadoua Ijim  1 , Mehdi El Kourchi  1 , Soukaina Wakrim  1
Affiliations
Case Reports

Intramedullary cervical spinal cord tuberculoma: A rare cause of paraparesis

Fadoua Ijim et al. Radiol Case Rep. .

Abstract

Neurological manifestations of tuberculosis remain rare, even if recent years have been marked by an increase in these pathologies, notably due to the HIV pandemic. Intramedullary tuberculoma remains an exceptional localization. Magnetic resonance imaging in diagnosing intramedullary tuberculoma and specific medical treatment are of great interest. We report a case of cervical intramedullary tuberculoma in a 45-year-old woman, with a slow spinal cord compression syndrome. The nature diagnosis had been retained on a clinical and radiological basis, and appropriate medical treatment was established, without resorting to surgery.

Keywords: Intramedullary tuberculoma; MRI; Tuberculosis of the nervous system.

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Figures

Fig 1:
Fig. 1
Axial section of the thoracic scan showed a miliary tuberculosis.
Fig 2:
Fig. 2
Sagittal and axial section in sequence T2 (A, B) and T1 (C): an intramedullary process (formula image) opposite C7 (formula image) with an iso signal in T1 sequence and an hyper signal in T2 sequence.
Fig 3:
Fig. 3
T1 sequence with injection: intense enhancement (formula image) after PDC injection, with a small central area nonenhanced (formula image).
See this image and copyright information in PMC

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