CASE REPORT of intramedullary tuberculoma is presented. Only one other
case of intramedullary tuberculoma has been reported in the North Ame
rican literature in the last 30 years. It is also unique because it is
the only documented case of the paradoxical enlargement of an intrame
dullary tuberculoma after the initiation of antituberculous chemothera
py. Excellent results were obtained with a combination of medical and
surgical management.