Turkish Neurosurgery 2010 , Vol 20 , Num 4
Syringomyelia and Intradural Extramedullary Tuberculoma of the Spinal Cord as a Late Complication of Tuberculous Meningitis
Sanser GUL1, Guven CELEBİ2, Murat KALAYCI3, Bektas ACIKGOZ4
1,3,4Karaelmas University, School of Medicine, Department of Neurosurgery, Zonguldak, Turkey
2Karaelmas 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
Corresponding author : Sanser Gul, drsanser@yahoo.com