Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea.
Clin Orthop Surg. 2010 Dec;2(4):260-3. doi: 10.4055/cios.2010.2.4.260. Epub 2010 Nov 5.
A 24-year-old man with tuberculosis meningitis developed acute paraplegia and sensory disturbances 5 weeks after receiving conventional antituberculous therapy. Magnetic resonance imaging revealed an intradural extramedullary long segmental mass mimicking en plaque meningioma at the T2-T6 vertebrae levels. Prompt surgical decompression was performed. A histology examination of the mass revealed a tuberculoma. After surgery, the patient showed improved motor power and a normal bladder function. Intradural extramedullary tuberculoma of the spinal cord is rare complication of tuberculosis meningitis, which can occur as a response to conventional antituberculous therapy.
一位 24 岁的男性,患有结核性脑膜炎,在接受常规抗结核治疗 5 周后出现急性截瘫和感觉障碍。磁共振成像显示 T2-T6 椎体水平的硬脊膜外长节段肿块,类似于斑块状脑膜瘤。立即进行了手术减压。肿块的组织学检查显示为结核瘤。手术后,患者的运动功能得到改善,膀胱功能正常。脊髓硬脊膜外髓外结核瘤是结核性脑膜炎的罕见并发症,可作为对常规抗结核治疗的反应而发生。