Intramedullary Conus Medullaris Tuberculoma: A Case Report and Review of the Literature.

摘要: Intramedullary tuberculoma (IMT) of the conus medullaris is extremely rare. We present a case intramedullary in which diagnosis was based on there being very high levels adenosine deaminase (ADA) patient's cerebrospinal fluid (CSF) and improvement with antituberculous therapy. A 78-year-old man presented after having had dull ache both thighs progressive paraparesis. The medical history included diffuse large B-cell lymphoma, undergone remission due to chemotherapy two years earlier, long-term, well-controlled diabetes. chest X-ray showed no evidence tuberculosis. results CSF analysis were compatible Froin's syndrome. An initial made an tumor medullaris, magnetic resonance imaging (MRI). myelotomy multiple punch out biopsy performed, histopathology tissues revealed mild reactive gliosis. Due patient CSF-ADA, IMT suspected. treated 18-month course gradually disappeared, motor power improved slightly. follow-up MRI lumbosacral (LS) spine that lesion completely disappeared. should be considered patients underlying malignancy symptoms systemic can helpful determining presence central nervous system tuberculosis when other signs disease are lacking.