Intramedullary tuberculoma of the cones medullaris: case report and reviewof the literature

Objective: To illustrate the dilemmas in the diagnosis and management of in tramedullary tuberculomas of the spinal cord. Methods: Case report of a 32 year-old man with tuberculous meningitis. The presence of unexplained urinary retention and progressive weakness in the l egs led to the discovery of an additional tuberculoma of the conus medullar is. Setting: Dicle University Diyarbakir, Turkey. Results: The patient was on a 1-year course of isoniazid, pyrazinamide and rifampicin, and responded well to conservative treatment. Our patient's uni que features were represented by the worsening of neurological symptoms whi le being treated with adequate anti-tuberculous medication. Conclusion: We present a case of intramedullary tuberculoma of the conus me dullaris to illustrate the dilemmas in the diagnosis and management of this curable disease, and review of the literature to date.