The Great Masquerade: A Rare Presentation of Spinal Tuberculoma

Spinal tuberculomas form a meagre fraction of cases of Tuberculosis (TB). Most common presentation of spinal tuberculoma is weakness. A 45-year-old female presented with dysthesias, gait instability and numbness involving both lower limbs for a period of 7-10 days. Patient was vitally stable (bloo...

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Autores principales:	Arnesh Bhattacharya, Ajay Chauhan, Ayushi Singhal
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	antitubercular therapy sensory neuronopathy tuberculosis Medicine R
Acceso en línea:	https://doaj.org/article/bc6ad9d1cff74eec982a452eb8e3cd00
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spelling	oai:doaj.org-article:bc6ad9d1cff74eec982a452eb8e3cd002021-11-11T18:42:50ZThe Great Masquerade: A Rare Presentation of Spinal Tuberculoma10.7860/JCDR/2021/50136.153352249-782X0973-709Xhttps://doaj.org/article/bc6ad9d1cff74eec982a452eb8e3cd002021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15335/50136_CE[Ra1]_F(SHU)_PF1(JY_KM)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XSpinal tuberculomas form a meagre fraction of cases of Tuberculosis (TB). Most common presentation of spinal tuberculoma is weakness. A 45-year-old female presented with dysthesias, gait instability and numbness involving both lower limbs for a period of 7-10 days. Patient was vitally stable (blood pressure of 128/78 mm of Hg, pulse rate of 86 beats per minute and respiratory rate of 18 breaths per minute with a normal pattern), alert and co-operative. Neurological examination suggested non length dependant sensory involvement of lower limbs, sensory ataxia and areflexia, level of lesion being at the Dorsal Root Ganglia (DRG) (sensory neuronopathy). Contrast Enhanced Magnetic Resonance Imaging (CEMRI) spine revealed tuberculoma at D9 spinal level. Patient responded to Antitubercular Therapy (ATT) and recovered. The intention of sharing the clinical experience is with the sole purpose of remembering the fact that common pathologies may at times be great mimickers. In the present case, while a lot of rare causes (autoimmune, neoplastic) were searched for, tuberculoma happened to be the culprit.Arnesh BhattacharyaAjay Chauhan Ayushi SinghalJCDR Research and Publications Private Limitedarticleantitubercular therapysensory neuronopathytuberculosisMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp OD04-OD06 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antitubercular therapy sensory neuronopathy tuberculosis Medicine R
spellingShingle	antitubercular therapy sensory neuronopathy tuberculosis Medicine R Arnesh Bhattacharya Ajay Chauhan Ayushi Singhal The Great Masquerade: A Rare Presentation of Spinal Tuberculoma
description	Spinal tuberculomas form a meagre fraction of cases of Tuberculosis (TB). Most common presentation of spinal tuberculoma is weakness. A 45-year-old female presented with dysthesias, gait instability and numbness involving both lower limbs for a period of 7-10 days. Patient was vitally stable (blood pressure of 128/78 mm of Hg, pulse rate of 86 beats per minute and respiratory rate of 18 breaths per minute with a normal pattern), alert and co-operative. Neurological examination suggested non length dependant sensory involvement of lower limbs, sensory ataxia and areflexia, level of lesion being at the Dorsal Root Ganglia (DRG) (sensory neuronopathy). Contrast Enhanced Magnetic Resonance Imaging (CEMRI) spine revealed tuberculoma at D9 spinal level. Patient responded to Antitubercular Therapy (ATT) and recovered. The intention of sharing the clinical experience is with the sole purpose of remembering the fact that common pathologies may at times be great mimickers. In the present case, while a lot of rare causes (autoimmune, neoplastic) were searched for, tuberculoma happened to be the culprit.
format	article
author	Arnesh Bhattacharya Ajay Chauhan Ayushi Singhal
author_facet	Arnesh Bhattacharya Ajay Chauhan Ayushi Singhal
author_sort	Arnesh Bhattacharya
title	The Great Masquerade: A Rare Presentation of Spinal Tuberculoma
title_short	The Great Masquerade: A Rare Presentation of Spinal Tuberculoma
title_full	The Great Masquerade: A Rare Presentation of Spinal Tuberculoma
title_fullStr	The Great Masquerade: A Rare Presentation of Spinal Tuberculoma
title_full_unstemmed	The Great Masquerade: A Rare Presentation of Spinal Tuberculoma
title_sort	great masquerade: a rare presentation of spinal tuberculoma
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/bc6ad9d1cff74eec982a452eb8e3cd00
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The Great Masquerade: A Rare Presentation of Spinal Tuberculoma

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