Conus medullaris tuberculoma

Case contributed by Praveen Jha
Diagnosis almost certain

Presentation

Back pain and numbness in feet

Patient Data

Age: 25 years
Gender: Female
mri

Conglomerate ring enhancing lesions are seen in conus medullaris with associated cord edema

Case Discussion

Patient's chest X-ray and brain screening was normal. No other lesion identified in spine.

This is a characteristic, yet rare case of spinal cord tuberculoma in conus medullaris.

Patient was given ATT and followed up. Patient completely responded to treatment on follow-up MRI (done somewhere else). Diagnosis of tuberculoma was virtually confirmed.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.