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Intramedullary spinal tuberculoma presenting as a conus tumor: A case report and review of the literature

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dc.contributor.author Süzer, Tuncer
dc.contributor.author Coşkun, Erdal
dc.contributor.author Tahta, K.
dc.contributor.author Bayramoǧlu, H.
dc.contributor.author Düzcan, E.
dc.date.accessioned 2019-08-16T11:51:25Z
dc.date.available 2019-08-16T11:51:25Z
dc.date.issued 1998
dc.identifier.issn 09406719 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/5649
dc.description.abstract Intramedullary spinal tuberculoma is a rare form of central nervous system tuberculosis. Although tuberculosis is unusual in the west, it is still prevalent in Asia and Africa. We report a case in which the diagnosis was made histologically without evidence of symptoms of systemic tuberculosis. The lesion, located in the conus medullaris, mimicked a conus tumor. The patient was a 20-year-old man who presented with a history of progressive leg weakness, urinary urgency, and impotence. There was no history of, or recent contact with, tuberculosis. A diagnosis of an intramedullary tumor in the conus medullaris was made by MRI. The patient underwent a T11-L1 laminectomy and total resection of the lesion with microsurgical technique. Histologic examination revealed a granulomatous lesion containing Langhans' giant cells, inflammatory cells, and caseating necrosis. Antituberculous medication was instituted as soon as the diagnosis was made. Neurologic symptoms and signs slowly improved postoperatively. A combination of microsurgical resection and antituberculous chemotherapy should be the choice of treatment for intramedullary tuberculomas.
dc.language.iso English
dc.relation.isversionof 10.1007/s005860050050
dc.rights info:eu-repo/semantics/openAccess
dc.subject Intramedullary spinal tuberculoma
dc.subject MRI
dc.subject Spinal cord
dc.subject Tuberculoma
dc.subject Tuberculosis
dc.subject adult
dc.subject article
dc.subject case report
dc.subject clinical feature
dc.subject histopathology
dc.subject human
dc.subject laminectomy
dc.subject male
dc.subject priority journal
dc.subject spinal cord tumor
dc.subject thoracolumbar spine
dc.subject tuberculoma
dc.subject Adult
dc.subject Antitubercular Agents
dc.subject Diagnosis, Differential
dc.subject Humans
dc.subject Laminectomy
dc.subject Lumbosacral Region
dc.subject Magnetic Resonance Imaging
dc.subject Male
dc.subject Medulla Oblongata
dc.subject Spinal Cord Diseases
dc.subject Spinal Cord Neoplasms
dc.title Intramedullary spinal tuberculoma presenting as a conus tumor: A case report and review of the literature
dc.type Article
dc.relation.journal European Spine Journal
dc.identifier.volume 7
dc.identifier.issue 2
dc.identifier.startpage 168
dc.identifier.endpage 171
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index PubMed


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