A Case of intramedullary spinal tuberculoma and multiple brain tuberculoma associated with pulmonary tuberculosis.
10.4046/trd.2000.49.2.237
- Author:
Hyang Ju LEE
;
Chung Tae KIM
;
Dong Il CHO
;
Nam Soo RHU
;
Phil Za CHO
- Publication Type:Case Report
- Keywords:
Intramedullary spinal tuberculoma;
Brain tuberculoma;
MRI
- MeSH:
Adrenal Cortex Hormones;
Adult;
Brain Stem;
Brain*;
Cerebellum;
Emergency Service, Hospital;
Humans;
Lower Extremity;
Magnetic Resonance Imaging;
Male;
Seizures;
Skull;
Spine;
Tuberculoma*;
Tuberculosis, Pulmonary*
- From:Tuberculosis and Respiratory Diseases
2000;49(2):237-245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tuberculomas in the spine are estimated to be 15 to 50 times less common than those occurring in the cranium. We experienced a case of intramedullary spinal tuberculoma and brain tuberculoma associated with pulmonary tuberculosis. A 39-year-old male was referred to the National Medical Center via emergency room because of urinary difficulty and lower limb weakness for 3 days. He had been treated with anti-tuberculosis regimens against pulmonary tuberculosis for 20 days. Spinal MRI revealed intradural intramedullary tuberculoma at T5. On the 21st day at the hospital, a generalized seizure attacked him. Brain MRI revealed multiple tuberculoma in both hemispheres, brainstem and cerebellum. He was treated anti-tuberculosis regimens and corticosteroids for 9 months. His condition improved clinically and radiologically. We report this case with a review of the literature.
