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 CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 143-147

Coexisting spinal intramedullary and intracranial tuberculomas in an immunocompetent child


Department of Paediatrics, ESI Post Graduate Institute of Medical Science and Research and ESIC Model Hospital, Andheri, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Vaishali R Ghane
2A, 1304, Lakeside Sapphire, Near Union Bank, Powai, Mumbai 400072, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpn.JPN_12_19

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Pediatric neurotuberculosis manifests commonly as tuberculous meningitis and intracranial tuberculomas. The ratio of occurrence of intracranial to intraspinal tuberculoma reported is 42:1. Intramedullary tuberculomas (IMTs) are rare, and the coexistence of intramedullary and intracranial tuberculoma is extremely rare. We report a case of coexisting intramedullary and intracranial tuberculoma in a 5-year-old boy who presented with fever for 12 days, progressive motor weakness in the lower limbs for 9 days, and retention of urine and constipation for 6 days. Neurological examination revealed signs of compressive myelopathy. Magnetic resonance imaging (MRI) of the spine detected IMT at D4-D5 level of the thoracic cord with perilesional edema. MRI of brain revealed a right frontal tuberculoma. Medical management with antituberculosis therapy and steroids resulted in complete neurological recovery.






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