圆锥髓内结核瘤：病例报告及文献复习
Intramedullary tuberculoma of the conus medullaris: case report and review of the literature.
作者信息
Kemaloğlu S, Gür A, Nas K, Cevik R, Büyükbayram H, Saraç A J
机构信息
Department of Neurosurgery, School of Medicine, Dicle University, 21100 Diyarbakir, Turkey.
出版信息
Spinal Cord. 2001 Sep;39(9):498-501. doi: 10.1038/sj.sc.3101187.
OBJECTIVE
To illustrate the dilemmas in the diagnosis and management of intramedullary tuberculomas of the spinal cord.
METHODS
Case report of a 32 year-old man with tuberculous meningitis. The presence of unexplained urinary retention and progressive weakness in the legs led to the discovery of an additional tuberculoma of the conus medullaris.
SETTING
Dicle University Diyarbakir, Turkey.
RESULTS
The patient was on a 1-year course of isoniazid, pyrazinamide and rifampicin, and responded well to conservative treatment. Our patient's unique features were represented by the worsening of neurological symptoms while being treated with adequate anti-tuberculous medication.
CONCLUSION
We present a case of intramedullary tuberculoma of the conus medullaris to illustrate the dilemmas in the diagnosis and management of this curable disease, and review of the literature to date.
目的
阐述脊髓髓内结核瘤诊断与治疗中的困境。
方法
报告一例32岁患结核性脑膜炎男性病例。因不明原因的尿潴留及双下肢进行性无力，发现合并圆锥部髓内结核瘤。
地点
土耳其迪亚巴克尔的迪克莱大学。
结果
患者接受异烟肼、吡嗪酰胺和利福平为期1年的治疗，对保守治疗反应良好。该患者的独特之处在于在接受充分抗结核药物治疗时神经症状却恶化。
结论
我们报告一例圆锥部髓内结核瘤病例，以说明这种可治愈疾病在诊断与治疗中的困境，并对迄今的文献进行综述。
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