Magnetic resonance imaging in diagnosing spinal cord tuberculoma: A case series and literature review

Q4 Medicine Radiology Case Reports Pub Date : 2025-02-01 Epub Date: 2024-12-03 DOI:10.1016/j.radcr.2024.10.156
Shimalis Fayisa MD , Sherief Ghozy MD , Armin Zarrinttan MD , Cem Bilgin MD , David F. Kallmes MD
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Abstract

Spinal cord tuberculoma is a clinically significant form of extra-pulmonary tuberculosis, despite its rarity. It leads to considerable neurological deficits and morbidity. Accurate diagnosis and early intervention depend on radiologic imaging, typically MRI, which reveals T2 hypointensity with rim enhancement, forming a ``target sign'' characteristic of caseous stage tuberculoma. In this article, we present 3 cases of spinal cord tuberculoma without adjacent vertebral involvement; 2 cases affect the lower thoracic region, while one involves the cervical cord. All patients exhibited some degree of body weakness, which improved following the initiation of anti-tuberculosis treatment. Also, we discuss the role of MRI in diagnosing spinal cord tuberculoma, highlighting its characteristic findings, and review recent literature on the topic.
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磁共振成像诊断脊髓结核瘤:一个病例系列和文献复习
脊髓结核瘤是肺外结核的一种临床重要形式,尽管它很少见。它会导致相当大的神经功能缺损和发病率。准确诊断和早期干预依赖于影像学,尤其是MRI,其显示T2低密度伴边缘增强,形成干酪样期结核瘤的“靶征”特征。在这篇文章中,我们报告3例脊髓结核瘤没有相邻椎体受累;2例累及胸下段,1例累及颈髓。所有患者均表现出一定程度的身体虚弱,在开始抗结核治疗后有所改善。此外,我们还讨论了MRI在诊断脊髓结核瘤中的作用,强调了其特征性表现,并回顾了最近关于该主题的文献。
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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