Intradural extramedullary tuberculoma of the thoracic spine: paradoxical response to antituberculous therapy

Intern Med. 2008;47(8):797-8. doi: 10.2169/internalmedicine.47.0839. Epub 2008 Apr 16.

Abstract

Intradural extramedullary tuberculoma of the spinal cord (IETSC) is a rare complication of tuberculosis, which can occur as a paradoxical response to antituberculous therapy. A 46-year-old woman with tuberculosis meningitis developed an acute sensory disturbance and paraplegia eight weeks after the antituberculous treatment was started. MRI revealed a cystic lesion at the Th 2 and 3 vertebrae levels, and continuous dural thickening. Laminectomy was performed; soft granulomas were unexpectedly observed inside the dura matter. After the operation, the patient experienced progressive improvement in motor strength. IETSC should be known as rare but possible complication of tuberculous meningitis.

Publication types

  • Case Reports

MeSH terms

  • Antitubercular Agents / adverse effects*
  • Antitubercular Agents / therapeutic use*
  • Dura Mater / pathology
  • Female
  • Humans
  • Laminectomy
  • Magnetic Resonance Imaging
  • Middle Aged
  • Spinal Cord Diseases / chemically induced*
  • Spinal Cord Diseases / diagnosis*
  • Spinal Cord Diseases / pathology
  • Thoracic Vertebrae / pathology
  • Tuberculoma / chemically induced*
  • Tuberculoma / diagnosis*
  • Tuberculoma / pathology
  • Tuberculosis, Meningeal / complications
  • Tuberculosis, Meningeal / drug therapy*
  • Tuberculosis, Meningeal / immunology

Substances

  • Antitubercular Agents