Kim M S, Kim K J, Chung C K, Kim H J
Department of Neurosurgery, Seoul National University College of Medicine, Korea.
J Korean Med Sci. 2000 Jun;15(3):368-70. doi: 10.3346/jkms.2000.15.3.368.
Intradural extramedullary (IDEM) tuberculoma of the spinal cord is uncommon entity and moreover, few reports have been documented on concurrent IDEM and intracranial tuberculomas. Authors report a case of IDEM spinal tuberculoma having intracranial lesion simultaneously. A 49-year-old woman suffered from paraparesis and urinary incontinence while being given medical treatment for tuberculous meningitis. Magnetic resonance imaging (MRI) revealed an IDEM mass lesion between the T1 and T2 spinal levels, and multiple intracranial tuberculous granulomas. Surgical resection of the IDEM tuberculoma followed by anti-tuberculous medication resulted in good outcome.
脊髓硬膜内髓外（IDEM）结核瘤是一种罕见的疾病，此外，关于同时存在IDEM和颅内结核瘤的报道很少。作者报告了一例同时患有颅内病变的IDEM脊髓结核瘤病例。一名49岁女性在接受结核性脑膜炎治疗时出现双下肢轻瘫和尿失禁。磁共振成像（MRI）显示T1和T2脊髓节段之间有一个IDEM肿块病变，以及多个颅内结核性肉芽肿。对IDEM结核瘤进行手术切除并随后进行抗结核药物治疗，取得了良好的效果。
