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脊髓背侧髓内结核瘤:一例报告并文献复习

Intramedullary Tuberculoma of Dorsal Spinal Cord: A Case Report with Review of Literature.

作者信息

Sonawane Dhiraj Vithal, Jagtap Sanjay Anand, Patil Hitendra Gulabrao, Biraris Sandeep Ramesh, Chandanwale Ajay S

机构信息

Department of Orthopaedics, Sir J J Group Of Government Hospitals & Grant Medical College Mumbai - 400008. India.

Department of Orthopaedics, HInduja hospital Khar, Mumbai. India.

出版信息

J Orthop Case Rep. 2015 Apr-Jun;5(2):44-6. doi: 10.13107/jocr.2250-0685.271.

Abstract

INTRODUCTION

Intramedullary tuberculoma (IMT)are extremely rare lesions should be distinguished from other space occupying lesions like neoplasms. Although it is a treatable condition delaying diagnosis leads to significant morbidity.

CASE REPORT

We report a case of intramedullary thoracic tuberculoma with paraparesis showing deterioration of neurological status during medical treatment. Surgical resection had shown the excellent result.

CONCLUSION

The possibility of IMT should be seriously considered when an intraspinal mass is found with evidence of tuberculosis. Anti-tuberculous therapy (ATT) is the mainstay of treatment and had shown good results. Surgical removal is to be considered in cases of worsening neurological status while the patient is on ATT.

摘要

引言

髓内结核瘤(IMT)是极为罕见的病变,应与肿瘤等其他占位性病变相鉴别。尽管它是可治疗的疾病,但延误诊断会导致严重的发病率。

病例报告

我们报告一例伴有双下肢轻瘫的胸段髓内结核瘤病例,该病例在接受药物治疗期间神经状态恶化。手术切除显示出良好的效果。

结论

当发现脊髓内肿块并有结核病证据时,应认真考虑IMT的可能性。抗结核治疗(ATT)是主要的治疗方法,已显示出良好的效果。在患者接受ATT治疗时,若神经状态恶化,则应考虑手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7958/4722588/c7b915b762ea/JOCR-5-44-g001.jpg

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