• Eur Spine J · May 2013

    Review Case Reports

    Isolated atypical spinal tuberculosis mistaken for neoplasia: case report and literature review.

    • Yang Yu, Xinwei Wang, Bin Du, Wen Yuan, Bin Ni, and Deyu Chen.
    • Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, Shanghai, 200003, People's Republic of China. doctoryoung2008@hotmail.com
    • Eur Spine J. 2013 May 1;22 Suppl 3:S302-5.

    IntroductionWe report a case of isolated intra-spinal tuberculosis in a 45 year-old woman. The uncommon findings in MRI were more suggestive of tumor lesion.Materials And MethodsAfter 3 month history of low back pain and 2 weeks radiated pain of right lower extremity, an operation was performed and the total intra-spinal mass was resected. Histological examination revealed a granulomatous necrosis with caseum. Symptoms were greatly improved postoperatively and then the patient was treated with four anti-tuberculosis drugs.ConclusionThis case indicated the complexity of differentiating atypical spinal tuberculosis from disease which could cause spinal cord and cauda equina compression.

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