Yang Yu1, Xinwei Wang, Bin Du, Wen Yuan, Bin Ni, Deyu Chen. 1. Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, Shanghai, 200003, People's Republic of China. doctoryoung2008@hotmail.com
Abstract
INTRODUCTION: We report a case of isolated intra-spinal tuberculosis in a 45 year-old woman. The uncommon findings in MRI were more suggestive of tumor lesion. MATERIALS AND METHODS: After 3 month history of low back pain and 2 weeks radiated pain of right lower extremity, an operation was performed and the total intra-spinal mass was resected. Histological examination revealed a granulomatous necrosis with caseum. Symptoms were greatly improved postoperatively and then the patient was treated with four anti-tuberculosis drugs. CONCLUSION: This case indicated the complexity of differentiating atypical spinal tuberculosis from disease which could cause spinal cord and cauda equina compression.
INTRODUCTION: We report a case of isolated intra-spinal tuberculosis in a 45 year-old woman. The uncommon findings in MRI were more suggestive of tumor lesion. MATERIALS AND METHODS: After 3 month history of low back pain and 2 weeks radiated pain of right lower extremity, an operation was performed and the total intra-spinal mass was resected. Histological examination revealed a granulomatous necrosis with caseum. Symptoms were greatly improved postoperatively and then the patient was treated with four anti-tuberculosis drugs. CONCLUSION: This case indicated the complexity of differentiating atypical spinal tuberculosis from disease which could cause spinal cord and cauda equina compression.
Authors: John C Wellons; Ali R Zomorodi; Alan T Villaviciencio; Christopher W Woods; William T Lawson; James D Eastwood Journal: Surg Neurol Date: 2004-02
Authors: Panayiotis J Papagelopoulos; Elias Ch Papadopoulos; Andreas F Mavrogenis; George S Themistocleous; Demetrios S Korres; Panayotis N Soucacos Journal: Eur Spine J Date: 2005-02-03 Impact factor: 3.134
Authors: Felix C Ringshausen; Andrea Tannapfel; Volkmar Nicolas; Andreas Weber; Hans-Werner Duchna; Gerhard Schultze-Werninghaus; Gernot Rohde Journal: Ann Clin Microbiol Antimicrob Date: 2009-11-20 Impact factor: 3.944