Summary
Intramedullary tuberculoma is rare, and there has been no report of concurrent intramedullary and intracerebral tuberculomas. We report a 30-year-old man with miliary tuberculosis of the lung. He suffered sudden paraplegia due to tuberculomas in the thoracic spinal cord and MRI showed more tuberculomas in the cervical spinal cord, brain stem, and cerebral and cerebellar hemispheres. The tuberculomas were isointense on the T1-weighted images, and hyperintense on the T2-weighted images; there was marked enhancement with intravenous gadolinium-DTPA. All the tuberculomas were very small 1 year after antituberculous chemotherapy.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Lin TH (1960) Intramedullary tuberculoma of the spinal cord. Neurosurgery 17: 497–499
MacDonell AH, Baird RW, Bronze MS (1990) Intramedullary tuberculomas of the spinal cord: case report and review. Rev Infect Dis 12: 432–439
Jena A, Baneriji AK, Tripathi RP, Gulati PK, Jain RK, Khushu S, Spara ML (1991) Demonstration of intramedullary tuberculomas by magnetic resonance imaging: a report of two cases. Br J Radiol 64: 555–557
Rhoton EL, Ballinger WE, Quisling R, Sypert GW (1988) Intramedullary spinal tuberculoma. Neurosurgery 22: 733–736
Dyk A van (1988) CT of intracranial tuberculomas with specific reference to the “target sign”. Neuroradiology 30: 329–336
Gupta RK, Jena A, Sharma A, Guha DK, Khushu S, Gupta AL (1988) MR imaging of intracranial tuberculomas. J Comput Assist Tomogr 12: 280–285
Salgado P, Del Brutto OH, Talamas O, Zenteno MA, Rodríguez-Carbajal J (1989) Intracranial tuberculoma: MR imaging. Neuroradiology 31: 299–302
Chang KH, Han MH, Roh JK, et al (1990) Gd-DTPA enhanced MR imaging in intracranial tuberculosis. Neuroradiology 32: 19–25
Jinkins JR (1991) Computed tomography of intracranial tuberculosis. Neuroradiology 33: 126–135
Whelan MA, Stern J (1981) Intracranial tuberculoma. Radiology 138: 75–81
Welchman JM (1979) Computerized tomography of intracranial tuberculoma. Clin Radiol 30: 567–573
Just M, Higer HP, Betting O, Bockenbeimer S, Pfannenstiel P (1987) MRI in cranial tuberculosis. Eur J Radiol 7: 276–278
Schoeman J, Hewlett R, Donald P (1988) MR of childhood tuberculous meningitis. Neuroradiology 30: 473–477
Riva M, Crippa S, Di Palma F, Gerini AM, Soresi E, Scoccia S (1990) Disseminated tuberculosis of the central nervous system responsive to rifabutin. Ital J Neurol Sci 11: 163–169
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shen, W.C., Cheng, T.Y., Lee, S.K. et al. Disseminated tuberculomas in spinal cord and brain demonstrated by MRI with gadolinium-DTPA. Neuroradiology 35, 213–215 (1993). https://doi.org/10.1007/BF00588498
Issue Date:
DOI: https://doi.org/10.1007/BF00588498