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KMID : 0368019830060040447
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Journal of Soonchunhyang University
1983 Volume.6 No. 4 p.447 ~ p.449
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A Case of Intradural Extramedullary Spinal Tuberculoma of the Thoracic Spine
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김영준/Kim, Young Jun
최순관/이인수/Choi, Sun Gwan/Lee, In Soo
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Abstract
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The authors report one case of intradural extramedullary spinal tuberculoma, which is one of rare lesions on the literatures.
The 20 years old female patient has complained motor weakness and sensory disturbanceon the lower extremities by spontaneous onset before one month.
On the 5th hospital day, we found complete paraplegia, sensory disturbance and urinary disturbance. There were revealed some pleural effusion on simple films of the chest, but within normal limit on simple films of the thoracic spine. The C.S.F. was clear, and its analysis was within normal limit. The contrast media ,was obliterated at the upper border of the 8th thoracic vertebra on the myelogtam by puncture of lumbar region.
We performed total laminectomy and removed an intradural extramedullary mass on the right dorsal side of the spinal cord from the 6th to the 8th thoracic vertebra carefully. The mass was adhesive with dura mater and arachnoid membrane.
Grossly, this mass showed grayish brown color, oval shape, 3 X1. 5 X O.8cm in size, relatively hard and well circumscribed. Microscopically, pathologic evaluation confirmed the diagnosis of tuberculoma due to chronic granulomatous inflammation with caseous necrosis.
The previous neurologic deficits improved completely one month after the operation, the patient discharged and antituberculous medication was given to protect tuberculous complications for 18 months later on.
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