Epidural Tuberculoma which invades Cauda Equina of Lumbar Spine.
10.4184/jkss.2004.11.1.55
- Author:
Dong Ki AHN
1
;
Song LEE
;
Ki Woong JEONG
;
Joon Seong PARK
Author Information
1. Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea. adkajs@hanmail.net
- Publication Type:Case Report
- Keywords:
Epidural space;
Cauda Equina;
Tuberculoma
- MeSH:
Biopsy;
Cauda Equina*;
Decompression;
Drug Therapy;
Epidural Space;
Myelography;
Paraparesis;
Physical Examination;
Spine*;
Tuberculoma*;
Tuberculosis
- From:Journal of Korean Society of Spine Surgery
2004;11(1):55-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epidural tuberculoma without bony involvement was first reported by Rao et al. in 1971; however, extraosseous spinal epidural tuberculoma and tuberculous infection of the cauda equina have never been reported. We experienced a case of epidural tuberculoma without bony involvement, which was diagnosed by decompression and biopsy, and treated with combined antituberculous chemotherapy. It resembled herniated nucleus pulposus at the L4-5 level, based on its clinical features, a physical examination, myelography and computed tomography. In the course of antituberculous medication, tuberculosis of the cauda equina occurred, which caused paraparesis. Herein, this case is reported in terms of its treatment and clinical course, with a review of the literature.
