Spinal Epidural Tuberculoma: A Novel Case Report
Ali Riza Guvercin1, Gurkan Gazioglu1, Ugur Yazar1, Iskender Samet Daltaban2, Mehmet Feryat Demirhan3, Gozde Evcim4, Erhan Arslan11Department of Neurosurgery, Karadeniz Technical Universty Faculty of Medicine, Trabzon, Turkey, 2Department of Neurosurgery, Bozok Universty Faculty of Medicine, Yozgat, Turkey, 3Department of Neurosurgery, Kanuni Traning and Researching Hospital, Trabzon, Turkey, 4Department of Pathology, Kanuni Traning and Researching Hospital,Trabzon, Turkey,
Mortality and morbidity rates due to the involvement of the central nervous system (CNS) tuberculosis are higher than those due to the involvement of other organ systems. Spinal tuberculosis is very rare and constitutes only 2% of CNS tuberculosis cases. A 17-year-old male patient presented with complaints of progressive loss of strength in both legs that started with numbing of the legs for three months. One-fifth loss of strength in both legs and an increase in patellar reflex were found in the motor examination. On performing unenhanced lumbar magnetic resonance imaging, the mass lesion extending from L1–L4 that was thought to be a subacute epidural hematoma was tracked. The patient was taken into operation immediately after the pre-diagnosis of subacute epidural hematoma was made. The lesion reached from the L1 vertebral corpus to the L4 corpus and had a size of 6×1 cm. Progressive improvement was seen in the paresis of the patient postoperatively. In the histopathological examination, histiocytes, lymphocytes showing caseous necrosis, and necrotizing granuloma inflammatory reaction showing granuloma structures formed by single neutrophils were observed. In line with the examination report, the patient was given a three-step anti-tuberculosis therapeutic protocol (ethambutol, rifampicin, and isoniazid) for nine months.
Cite This Article
Guvercin A, Gazioglu G, Yazar U, Daltaban I, Demirhan M, Evcim G, et al. Spinal Epidural Tuberculoma: A Novel Case Report. EJMO. 2017; 1(3): 174-178
Corresponding Author: Ali Riza Guvercin