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Spinal Tuberculomas Mimicking Spinal Dural Arteriovenous Fistula: A Case Report
並列摘要
Introduction: Tuberculosis is a very common disease in developing countries and has been found to affect almost all the parts of the body. We report the case of a patient who had spinal cord tuberculomas without evidence of symptoms of systemic tuberculosis. The lesions were located at the surface of lower thoracic cord and mimicked a spinal-dural arteriovenous fistula (SDAVF) on magnetic resonance imaging (MRI). Case Report: The patient was 45-year-old man who presented with a history of progressive paraparesis with a clinical suspicion of intramedullary tumor. First diagnosis was made as SDAVF on MRI. Then he underwent diagnostic and therapeutic digital substraction angiogram which was negative for the same. Again MRI was reviewed by a senior radiologist and a final diagnosis of spinal cord pial surface tuberculomas was made, confirmed by cerebrospinal fluid analysis and treated by appropriate anti-tubercular therapy. Conclusion: Tuberculosis can mimic a number of disease entitiles. It is important to be familiar with various a typical radiological presentations of tuberculosis.
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