J Korean Soc Spine Surg.  2004 Mar;11(1):55-60. 10.4184/jkss.2004.11.1.55.

Epidural Tuberculoma which invades Cauda Equina of Lumbar Spine

• Ahn DK
• Lee S
• Jeong KW
• Park JS

• KMID: 2003192
• DOI: http://doi.org/10.4184/jkss.2004.11.1.55

Abstract

Epidural tuberculoma without bony involvement was first reported by Rao et al. in 1971; however, extraosseous spinal epidural tuberculoma and tuberculous infection of the cauda equina have never been reported. We experienced a case of epidural tuberculoma without bony involvement, which was diagnosed by decompression and biopsy, and treated with combined antituberculous chemotherapy. It resembled herniated nucleus pulposus at the L4-5 level, based on its clinical features, a physical examination, myelography and computed tomography. In the course of antituberculous medication, tuberculosis of the cauda equina occurred, which caused paraparesis. Herein, this case is reported in terms of its treatment and clinical course, with a review of the literature.

Keyword

Epidural space; Cauda Equina; Tuberculoma

MeSH Terms

Biopsy
Cauda Equina*
Decompression
Drug Therapy
Epidural Space
Myelography
Paraparesis
Physical Examination
Spine*
Tuberculoma*
Tuberculosis