Abstract
Leptomeningeal granulomatous radiculomyelitis is usually an extension of basal cisternal arachnoiditis or evolves from haematogeous or contiguous spread from juxtameningeal foci, choroid plexus foci or osseous infection. Isolated intradural and/or intramedullary lesions are much less common than leptomeningeal involvement of the basal cisterns. Furthermore, the frequency of isolated intradural TB lesions in non-AIDS patients is exceptional.
The type, severity and extent of the lesions depend on the number and virulence of acid fast bacilli, and the immune status of the patient. Alcohol abuse is known as an important immunosuppressant.
Herein we report one case of multiple intradural extramedullary tuberculomas without cranial involvement. Magnetic resonance imaging revealed intradural lesions confirmed as tuberculomata at pathology, with no evidence of tuberculosis elsewhere.
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