A Case of Intradural, Extramedullary Tuberculous Granuloma Developed During the Treatment of Tuberculous Meningitis

J Korean Neurol Assoc > Volume 24(1); 2006 > Article

Journal of the Korean Neurological Association 2006;24(1): 92-94.

결핵성수막염 치료 도중 발생한 경막내 척수외의 결핵성 육아종 1예

이영주, 박현영 장 혁 김요식 조광호

원광대학교 의과대학 신경과학교실, 원광의과학연구소

A Case of Intradural, Extramedullary Tuberculous Granuloma Developed During the Treatment of Tuberculous Meningitis

Young-Joo Lee

Department of Neurology, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center. Iksan, Korea

Abstract

A 24-year-old man was treated with anti-tuberculous therapy after being diagnosed with tuberculous meningitis. However, he developed abrupt onset of weakness in the lower extremities. Thoracic spinal magnetic resonance imaging (MRI) showed a soft tissue mass, a compressed posterior spinal cord. A total resection of the intradural extramedullary mass was performed. A histological examination revealed the infiltration of inflammatory cells with granulomatous lesions. Intradural extramedullary tuberculous granuloma is rare, but must be considered in the differential diagnosis of spinal cord compression.