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CASE REPORT
Year : 2014  |  Volume : 1  |  Issue : 1  |  Page : 39-40

Spinal intramedullary tubercular abscess


1 Resident, Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil nadu, India
2 Assistant Professor, Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil nadu, India
3 Professor, Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil nadu, India

Correspondence Address:
Saravanan Natesan
Resident, S2 75 Aravind Taikripa apts., 2nd main road, Sadhasivam nagar Madipakkam, Chennai-600091, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1008

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Spinal intramedullary tubercular abscess is very rare. We present a 3-year-old boy, with subacute paraparesis and incontinence for 1 day. His MR imaging showed a contrast ring enhancing intramedullary lesion at D10-D12 with central T1-hypointense, T2-hyperintense core and cord expansion. He underwent laminectomy, evacuation of abscess, with antituberculous drugs and steroids postoperatively. There was pus evacuated intraoperatively showing positive acid fast bacilli, and the wall biopsy showed inflammatory cell infiltrate and no giant cell or granuloma formation. Child improved well and discharged well. This is a very rare case of intramedullary spinal tubercular abscess satisfying all of Whitner's criteria.


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