Intradural extramedullary tuberculous spinal abscess is rare and has a
poor prognosis if not diagnosed early and treated adequately. We repo
rt the case of 13 year-old boy who presented with an 8-month history o
f paraplegia. MR imaging demonstrated an intradural extramedullary spi
nal abscess in the mid-thoracic region. At operation, an encapsulated
abscess was removed completely. The tuberculous nature was confirmed w
ith microbiological testing. Postoperative antituberculous chemotherap
y resulted in complete recovery. MR imaging can prove very helpful in
early diagnosis of this condition, which is particular relevant in cou
ntries where tuberculosis is endemic.