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Introduction. Intra-medullary spinal tuberculoma is a rare form of tuberculosis, with an incidence of only two in 100,000 patients with tuberculosis. We present a case of intra-medullary tuberculoma from Pakistan, which was diagnosed by radiological findings and analysis of cerebrospinal fluid using polymerase chain reaction testing. Case presentation. We present the case of a 28-year-old Sindhi male with intra-medullary tuberculoma of the spinal cord at the C3 level. Our patient was treated solely with anti-tubercular drug therapy with no surgical intervention. Conclusions: We discuss the possible clinical management of such rare cases, considering both chemotherapeutic and surgical options. Additionally, diagnostic procedures and findings are discussed; we suggest cerebrospinal fluid analysis via polymerase chain reaction and gadolinium-diethylenetriamine pentaacetic acid magnetic resonance imaging as important chemical and radiological tests to be performed in such cases. © 2012 Bashir et al.; licensee BioMed Central Ltd.
Bashir, S., Memon, A. A., Sanaullah, M., & Hasan, Y. (2012). Intra-medullary tuberculoma of the spinal cord presenting with typhoid and paraplegia: A case report. Journal of Medical Case Reports, 6. https://doi.org/10.1186/1752-1947-6-388