Litré C-F, Gourg G Pech, Diaz U Acosta, Fuentes S, Grisoli F
Service de neurochirurgie, hôpital de la Timone, 264, boulevard Saint-Pierre, 13385 Marseille cedex 05, France.
Neurochirurgie. 2008 Aug;54(4):545-7. doi: 10.1016/j.neuchi.2008.02.062. Epub 2008 Jun 24.
Neurological symptoms of tuberculosis are rare, even if there this pathology has been on the rise for a number of years because of HIV. Intramedullary tuberculoma is an exceptional location. We report the case of a patient with no HIV or immunodepression symptoms with intramedullary tuberculoma, revealed by a clinical presentation of insidious onset of myelopathy. We will discuss the diagnosis, treatment and clinical functional follow-up. The optimal treatment seems to be a combination of microsurgical resection and antibiotic therapy.
结核病的神经系统症状很少见,即便由于艾滋病病毒,这种病理情况在数年间呈上升趋势。髓内结核瘤是一种特殊的发病部位。我们报告了一例无艾滋病病毒感染或免疫抑制症状的髓内结核瘤患者,其以隐匿性脊髓病的临床表现为首发症状。我们将讨论其诊断、治疗及临床功能随访情况。最佳治疗方案似乎是显微手术切除与抗生素治疗相结合。