Primer İntradural Ekstramedüller Lomber Spinal Tüberkülom

Tuberculosis is an important pathological entity in developing countries with increased incidence. Non-osseous spinal cord tuberculomas can be found as extradural, intradural extramedullary, or intramedullary lesions. It has been estimated that intradural spinal tuberculomas comprise only 2–5% of central nervous system tuberculomas. A 31-year-old woman presented with a 2-month history of progressive paraparesis. Magnetic resonance imaging revealed an intradural, extramedullary lesion at L3-S2 levels with high contrast enhancement. Following operation, pathological examination of the lesion revealed granulomas with multinucleated and Langhans-type giant cells, and caseation necrosis typical of a tuberculoma. In the differential diagnosis of cauda equina lesions, primary intradural extramedullary tuberculomas should be considered as a rare entity