PDF(Pubmed)
Abstract：
UNASSIGNED: Intraspinal tuberculoma is rare and challenging situation, which results in serious neurological dysfunctions.
UNASSIGNED: This case report shows an intraspinal tuberculoma with osseous involvement in a 31-year-old male patient with subacute progressing neurologic deficit. His medical history included tuberculosis of pulmonary and intestinal 8 years previously, at which time he had been treated with intestinal obstruction operation and antituberculosis treatment. A quadruple antituberculosis treatment was carried out after admission; however, his neurological condition was steadily worsening. He underwent debulking of mass for decompression and pathological analysis revealed intraspinal tuberculoma. The patient was prescribed a 12-month course of antituberculosis therapy, and a good clinical outcome was obtained subsequently.
UNASSIGNED: This case was treated by microsurgical resection and antituberculosis therapy, and the outcome was favourable.
UNASSIGNED: Intraspinal tuberculoma should be considered when an intraspinal mass is found with a history of tuberculosis, it can be effectively diagnosed by MRI and treated by the combination of medical and surgical treatments.
UNASSIGNED: This case report shows an intraspinal tuberculoma with osseous involvement in a 31-year-old male patient with subacute progressing neurologic deficit. His medical history included tuberculosis of pulmonary and intestinal 8 years previously, at which time he had been treated with intestinal obstruction operation and antituberculosis treatment. A quadruple antituberculosis treatment was carried out after admission; however, his neurological condition was steadily worsening. He underwent debulking of mass for decompression and pathological analysis revealed intraspinal tuberculoma. The patient was prescribed a 12-month course of antituberculosis therapy, and a good clinical outcome was obtained subsequently.
UNASSIGNED: This case was treated by microsurgical resection and antituberculosis therapy, and the outcome was favourable.
UNASSIGNED: Intraspinal tuberculoma should be considered when an intraspinal mass is found with a history of tuberculosis, it can be effectively diagnosed by MRI and treated by the combination of medical and surgical treatments.
摘要：
■椎管内结核瘤是罕见且具有挑战性的情况，导致严重的神经功能障碍.
■本病例报告显示1例31岁男性亚急性进展性神经功能缺损患者的椎管内结核伴骨性受累。他的病史包括8年前的肺部和肠道结核，当时他接受了肠梗阻手术和抗结核治疗。入院后进行了四联抗结核治疗；然而，他的神经状况不断恶化。他接受了肿块的减压和病理分析，发现椎管内结核瘤。患者接受了为期12个月的抗结核治疗，随后获得了良好的临床结果。
■此例采用显微外科切除和抗结核治疗,结果是有利的。
■当发现有结核病史的椎管内肿块时，应考虑椎管内结核瘤，它可以通过MRI有效诊断，并通过药物和手术治疗相结合进行治疗。
■本病例报告显示1例31岁男性亚急性进展性神经功能缺损患者的椎管内结核伴骨性受累。他的病史包括8年前的肺部和肠道结核，当时他接受了肠梗阻手术和抗结核治疗。入院后进行了四联抗结核治疗；然而，他的神经状况不断恶化。他接受了肿块的减压和病理分析，发现椎管内结核瘤。患者接受了为期12个月的抗结核治疗，随后获得了良好的临床结果。
■此例采用显微外科切除和抗结核治疗,结果是有利的。
■当发现有结核病史的椎管内肿块时，应考虑椎管内结核瘤，它可以通过MRI有效诊断，并通过药物和手术治疗相结合进行治疗。
