Article Text

PDF
An intradural spinal tuberculoma mimicking a neurinoma
  1. Bernadette Schoekler1,
  2. Karin Pistracher1,
  3. Manuel Mrfka1,
  4. Johannes Haybaeck2,
  5. Martin Trummer1
  1. 1Department of Neurosurgery, Medical University Graz, Graz, Austria
  2. 2Institute of Pathology, Medical University Graz, Graz, Austria
  1. Correspondence to Dr Bernadette Schoekler, Department of Neurosurgery, Medical University Graz, Auenbruggerplatz 29, A-8036 Graz, Austria; bernadette.schoekler{at}klinikum-graz.at

Statistics from Altmetric.com

Introduction

In the last few years, tuberculosis has evolved to become a major public health problem again. One reason, of course, is the growth in international travel and trade, which provides many more opportunities for the spread of diseases. Other risk factors are the increasing prevalence of HIV infection as well as urban overcrowding and inadequate nutrition.1–3 Tuberculosis primarily affects the lungs and then spreads to the other parts of the body through the blood stream. It is estimated that the central nervous system is affected in 10% of all patients diagnosed with tuberculosis. The most common manifestation is tuberculous meningitis.2 Spinal involvement is estimated to be only 2–5% of all cases.4 Primary spinal tuberculosis is extremely rare and only four cases have been reported in the literature until now.5 In this paper, we present a case of a woman in her 40s in whom a primary intradural extramedullary tuberculoma was diagnosed. She complained of general symptoms but no other abnormalities were found.

Case report

A woman in her 40s was admitted to our department with a 2-year history of recurrent low-back pain and ischialgia in both lower extremities. Deterioration of her symptoms occurred over the last month. In addition, she suffered from weakness in general, chronic fatigue and night sweat; however, she denied other serious diseases, although she confessed to alcohol abuse a few years ago. Due to aches and pains she had to take medication (non-steroidal anti-inflammatory drugs and opioids) regularly three …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.