Sharma Bhawna, Nagpal Kadam, Handa Rahul, Gupta Pankaj
Department of Neurology, S.M.S Medical College, Jaipur, Rajasthan, India.
BMJ Case Rep. 2014 Feb 4;2014:bcr2013201368. doi: 10.1136/bcr-2013-201368.
Tuberculosis is the most common chronic central nervous system infection in developing countries like India. Non-osseous spinal cord involvement is a rare manifestation of tuberculosis. The use of MRI, as an imaging modality of choice, has revolutionised the imaging of tuberculomas with reasonable certainty and thereby avoiding unnecessary surgical intervention. We report an unusual presentation of intradural extramedullary and intracranial tuberculomas with communicating syringomyelia complicated with tubercular meningitis.
在印度等发展中国家,结核病是最常见的慢性中枢神经系统感染。非骨脊髓受累是结核病的一种罕见表现。磁共振成像(MRI)作为首选的成像方式,已使结核瘤的成像有了合理的确定性,从而避免了不必要的手术干预。我们报告了一例硬膜内髓外和颅内结核瘤合并交通性脊髓空洞症并伴有结核性脑膜炎的不寻常表现。