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颈髓髓内结核瘤:截瘫的罕见病因。

Intramedullary cervical spinal cord tuberculoma: A rare cause of paraparesis.

作者信息

Ijim Fadoua, Kourchi Mehdi El, Wakrim Soukaina

机构信息

Radiology Department-Chu Souss Massa, Faculty of Medicine and Pharmacy, University IBN Zohr Agadir, Morocco.

出版信息

Radiol Case Rep. 2024 Sep 12;19(12):5809-5812. doi: 10.1016/j.radcr.2024.08.051. eCollection 2024 Dec.

Abstract

Neurological manifestations of tuberculosis remain rare, even if recent years have been marked by an increase in these pathologies, notably due to the HIV pandemic. Intramedullary tuberculoma remains an exceptional localization. Magnetic resonance imaging in diagnosing intramedullary tuberculoma and specific medical treatment are of great interest. We report a case of cervical intramedullary tuberculoma in a 45-year-old woman, with a slow spinal cord compression syndrome. The nature diagnosis had been retained on a clinical and radiological basis, and appropriate medical treatment was established, without resorting to surgery.

摘要

结核病的神经系统表现仍然罕见,尽管近年来这些病症有所增加,特别是由于艾滋病毒大流行。髓内结核瘤仍然是一种罕见的定位。磁共振成像在诊断髓内结核瘤和特定的药物治疗方面具有重要意义。我们报告一例45岁女性的颈椎髓内结核瘤病例,伴有缓慢的脊髓压迫综合征。基于临床和放射学诊断确定了病情性质,并在未进行手术的情况下制定了适当的药物治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/11416465/4072ee618a41/gr1.jpg

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