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Conus medullaris tuberculoma

Case contributed by Praveen Jha
Diagnosis almost certain

Presentation

Back pain and numbness in feet

Patient Data

Age: 25 years
Gender: Female
mri

Conglomerate ring enhancing lesions are seen in conus medullaris with associated cord edema

Case Discussion

Patient's chest X-ray and brain screening was normal. No other lesion identified in spine.

This is a characteristic, yet rare case of spinal cord tuberculoma in conus medullaris.

Patient was given ATT and followed up. Patient completely responded to treatment on follow-up MRI (done somewhere else). Diagnosis of tuberculoma was virtually confirmed.

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