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2025, Vol: 9, Issue: 4
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Case Report
Online Published: 29 Apr 2025
 


Is surgery superfluous for spinal cord tuberculoma? Case report and literature review

Riadh Mohamed Rebai, Bashayer Nawar Algethami, Muhammed Tahir Bakhsh.


Abstract
Background: Tuberculosis (TB) is still an endemic disease in many parts of the world. Central nervous system involvement is common. TB of the central nervous system can have diverse presentations and is often misdiagnosed due to its nonspecific clinical presentation and varied radiology. Spinal cord tuberculoma, a rare manifestation of extrapulmonary TB, poses a significant challenge in clinical management due to its complex presentation and the potential for severe and urgent neurological complications.
Case Presentation: A 59-year-old male was presented with progressive tetraparesis due to a cervical spinal cord tuberculoma. Magnetic resonance imaging showed an intramedullary lesion at C6 with necrotic features. Due to rapid neurological deterioration, surgical excision was performed, confirming tuberculoma on histopathology. Postoperatively, the patient was started on anti-tuberculous therapy, leading to gradual neurological improvement.
Conclusion: Spinal cord tuberculoma should be considered in the differential diagnosis of intramedullary lesions. Surgical excision provides both diagnostic confirmation and therapeutic benefit in cases of significant neurological compromise. This challenge arises from its intricate presentation and the potential for severe neurological consequences.

Key words: Tuberculosis, cervical cord, central nervous system, extrapulmonary lesions, case report


 
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Pubmed Style

Rebai RM, Algethami BN, Bakhsh MT. Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. IJMDC. 2025; 9(4): 1014-1018. doi:10.24911/IJMDC.51-1739896512

Web Style

Rebai RM, Algethami BN, Bakhsh MT. Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. https://www.ijmdc.com/?mno=243457 [Access: May 14, 2025]. doi:10.24911/IJMDC.51-1739896512

AMA (American Medical Association) Style

Rebai RM, Algethami BN, Bakhsh MT. Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. IJMDC. 2025; 9(4): 1014-1018. doi:10.24911/IJMDC.51-1739896512


Vancouver/ICMJE Style

Rebai RM, Algethami BN, Bakhsh MT. Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. IJMDC. (2025), [cited May 14, 2025]; 9(4): 1014-1018. doi:10.24911/IJMDC.51-1739896512


Harvard Style

Rebai, R. M., Algethami, . B. N. & Bakhsh, . M. T. (2025) Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. IJMDC, 9 (4), 1014-1018. doi:10.24911/IJMDC.51-1739896512


Turabian Style

Rebai, Riadh Mohamed, Bashayer Nawar Algethami, and Muhammed Tahir Bakhsh. 2025. Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. International Journal of Medicine in Developing Countries, 9 (4), 1014-1018. doi:10.24911/IJMDC.51-1739896512


Chicago Style

Rebai, Riadh Mohamed, Bashayer Nawar Algethami, and Muhammed Tahir Bakhsh. "Is surgery superfluous for spinal cord tuberculoma? Case report and literature review." International Journal of Medicine in Developing Countries 9 (2025), 1014-1018. doi:10.24911/IJMDC.51-1739896512


MLA (The Modern Language Association) Style

Rebai, Riadh Mohamed, Bashayer Nawar Algethami, and Muhammed Tahir Bakhsh. "Is surgery superfluous for spinal cord tuberculoma? Case report and literature review." International Journal of Medicine in Developing Countries 9.4 (2025), 1014-1018. Print. doi:10.24911/IJMDC.51-1739896512


APA (American Psychological Association) Style

Rebai, R. M., Algethami, . B. N. & Bakhsh, . M. T. (2025) Is surgery superfluous for spinal cord tuberculoma? Case report and literature review. International Journal of Medicine in Developing Countries, 9 (4), 1014-1018. doi:10.24911/IJMDC.51-1739896512




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