alexa Intramedullary Spinal Cord and Intracranial Tuberculomas in HIV Infected Patient | OMICS International | Abstract
ISSN: 2165-7939

Journal of Spine
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Case Report

Intramedullary Spinal Cord and Intracranial Tuberculomas in HIV Infected Patient

Benabdellah A*, Bestaoui Leila, Touati Souhil, Zaoui Omar Farouk and Labdouni MH
HIV Laboratory Research, University of Oran, Algeria
Corresponding Author : Benabdellah A
HIV Llaboratory Research, University of Oran
PO Box 1524, El m’naouer Oran (31000)–Algeria
Tel: 00213551242992
E-mail: [email protected]
Received August 21, 2014; Accepted November 17, 2014; Published November 19, 2014
Citation: Benabdellah A, Leila B, Souhil T, Farouk ZO, Labdouni MH (2014) Intramedullary Spinal Cord and Intracranial Tuberculomas in HIV Infected Patient. J Spine 3:192. doi:10.4172/2165-7939.1000192
Copyright: © 2014 Benabdellah A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Intramedullary spinal tuberculoma is a rare form of central nervous system tuberculosis. We report a case in HIV infected patient with evidence of symptoms of systemic tuberculosis who presented with a history of progressive leg weakness, urinary urgency, and impotence. Thoracic MRI showed disseminated micronodular lesions. Abdominal MRI revealed ascitis, necrosed retroperitoneal adenopathies. Ascitis liquid acid-fast bacilli stainings and cultures were positive. MRI of the brain revealed multiple infracentimetric nodular lesions in the cerebral parenchyma and in cerebellar vermis. MRI of spinal cord revealed two intramedullary hyper intense lesions measuring 10 mm and 7 mm interesting the terminal cones. Gd-DTPA-enhanced MRI showed enhancement of the two intramedullary lesions. The lesion, was located in the cones medullaris. Antituberculous medication was instituted as soon as the diagnosis was made. Neurologic symptoms and signs slowly improved.

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