Intra-medullary tuberculoma of the spinal cord presenting with typhoid and paraplegia: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 6:388

First Online: 13 November 2012Received: 20 May 2012Accepted: 03 October 2012DOI: 10.1186-1752-1947-6-388

Cite this article as: Bashir, S., Memon, A.A., Sanaullah, M. et al. J Med Case Reports 2012 6: 388. doi:10.1186-1752-1947-6-388

Abstract

IntroductionIntra-medullary spinal tuberculoma is a rare form of tuberculosis, with an incidence of only two in 100,000 patients with tuberculosis. We present a case of intra-medullary tuberculoma from Pakistan, which was diagnosed by radiological findings and analysis of cerebrospinal fluid using polymerase chain reaction testing.

Case presentationWe present the case of a 28-year-old Sindhi male with intra-medullary tuberculoma of the spinal cord at the C3 level. Our patient was treated solely with anti-tubercular drug therapy with no surgical intervention.

ConclusionsWe discuss the possible clinical management of such rare cases, considering both chemotherapeutic and surgical options. Additionally, diagnostic procedures and findings are discussed; we suggest cerebrospinal fluid analysis via polymerase chain reaction and gadolinium-diethylenetriamine pentaacetic acid magnetic resonance imaging as important chemical and radiological tests to be performed in such cases.

KeywordsIntra-medullary tuberculoma Spinal tuberculoma Muscle weakness Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-6-388 contains supplementary material, which is available to authorized users.

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Author: Sanaullah Bashir - Akhtar Amin Memon - Maryam Sanaullah - Yasmeen Hasan

Source: https://link.springer.com/







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