CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 272-274
DOI: 10.1055/s-0038-1671793
Case Report
Neurological Surgeons' Society of India

Isolated Intraspinal Extradural Tubercular Lesion without Osseous Involvement

Sharad Pandey
1  Department of Neuro Surgery, PGIMER, Dr. Ram Manohar Lohia Hospital, New Delhi, India
,
Deepa Pandey
2  Department of Clinical Microbiology, Northern Railway Central Hospital, New Delhi, India
,
Kulwant Singh
3  Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Vivek Sharma
3  Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Amrita Ghosh
4  Department of Pathology, Sir Sunder Lal Hospital, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India
› Author Affiliations
Further Information

Publication History

Received: 18 April 2016

accepted: 20 June 2016

Publication Date:
27 November 2018 (online)

  

Abstract

Tuberculosis (TB) continues to be a major public health problem in developing countries. Approximately 10% of patients with extrapulmonary TB have skeletal involvement. The spine is the most commonly affected skeletal site. The neurologic manifestations of spinal TB are most often secondary to bone involvement but can also be due to neural and perineural tissues involvement. TB may involve any level from the cervical to lumbosacral region. Extradural tubercular granuloma without vertebral involvement is uncommon. The authors reported an uncommon case of isolated intraspinal extradural TB lesion without osseous involvement of the thoracic spine in an adult man. Surgical intervention along with chemotherapy is one of the preferred treatments for intraspinal extradural tubercular lesion.