Turkish Neurosurgery
2010 , Vol 20 , Num 4
Syringomyelia and Intradural Extramedullary Tuberculoma of the Spinal Cord as a Late Complication of Tuberculous Meningitis
1,3,4Karaelmas University, School of Medicine, Department of Neurosurgery, Zonguldak, Turkey2Karaelmas University, School of Medicine, Infectious Disease and Clinical Microbiology, Zonguldak, Turkey DOI : 10.5137/1019-5149.JTN.1112-08.6 Intradural extramedullary (IDEM) tuberculomas account for only 1% of all spinal tuberculomas. Concurrent IDEM tuberculoma and syringomyelia arising as a complication of tuberculous meningitis (TM) is extremely rare and only two cases have been reported to date. There is yet no report in the literature describing syringomyelia presenting as a delayed complication of IDEM tuberculoma. Here we present such a case. A 21 year-old male patient underwent partial decompression for thoracolumbar IDEM tuberculoma as a late complication of tuberculous meningitis. Spinal magnetic resonance imaging (MRI) of the patient suffering from progression of paraparesia six months after the operation revealed a syringomyelia occupying the space from T1 to T9, remote from the operation site, and syringo-peritoneal shunt placement was performed. Keywords : Intradural extramedullary tuberculoma, Syringomyelia, Tuberculous meningitis