A 21 cm long intra-medullary tuberculoma of dorsal spinal cord

Intramedullary tuberculoma (IMT) is a rare form of spinal tuberculosis. The incidence of this disease is 01-02/100,000 patients (1). Occurs by hematogenous dissemination from focus elsewhere in the body. Magnetic resonance imaging (MRI) is helpful for diagnosing IMT at an early stage and it is also very useful in follow-up. CSF PCR studies are confirmatory. Histopathology is the Gold Standard. AKT drug therapy is the mainstay of treatment for IMT, with surgery indicated in select patients. Here, we describe a female patient with long-segment dorsal intramedullary tuberculoma with compressive myelopathy treated with surgery and put on AKT who improved clinically.