{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:04Z","timestamp":1756321804817,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,24]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>Intradural extramedullary tuberculoma of the spinal cord is an extremely rare central nervous system tuberculosis manifestation. It is even rarer in patients who have no history of primary tuberculosis. A total of five cases, including the present case of intradural extramedullary tuberculoma without a history of primary tuberculosis, have been reported in the literature. We report a case of a male patient in his 20s who came with progressive weakness in his lower limbs, urinary incontinence and MRI features suggestive of meningioma. The patient underwent a D9\u201311 laminectomy with total debulking of the tumour. The histopathological examination revealed Langhans-type giant cells, confirming the diagnosis of a tuberculoma. The patient was advised an antitubercular therapy for 18 months. On a follow-up after 1\u2009month, the patient could walk without support and had no urinary incontinence, indicating the importance of prompt surgical resection and adequate antitubercular therapy for a better outcome.<\/jats:p>","DOI":"10.1136\/bcr-2022-253040","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T09:15:24Z","timestamp":1670577324000},"page":"e253040","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Intradural extramedullary tuberculoma of the spinal cord mimicking meningioma"],"prefix":"10.1136","volume":"15","author":[{"given":"Ayesha Arif","family":"Ansari","sequence":"first","affiliation":[{"name":"Global Consortium of Medical Research and Education, Pune, India"},{"name":"Jawaharlal Nehru Medical College, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paresh","family":"Korde","sequence":"additional","affiliation":[{"name":"Neurosurgery, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India"},{"name":"Datta Meghe Institute of Medical Sciences-Wardha Campus, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep W","family":"Iratwar","sequence":"additional","affiliation":[{"name":"Neurosurgery, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India"},{"name":"Datta Meghe Institute of Medical Sciences-Wardha Campus, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Anjankar","sequence":"additional","affiliation":[{"name":"Datta Meghe Institute of Medical Sciences-Wardha Campus, Wardha, Maharashtra, India"},{"name":"Biochemistry, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,12,9]]},"reference":[{"key":"2025082711291071000_15.12.e253040.1","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1016\/S0140-6736(19)30308-3","article-title":"Tuberculosis","volume":"393","author":"Furin","year":"2019","journal-title":"The Lancet"},{"key":"2025082711291071000_15.12.e253040.2","unstructured":"Information NC for B, Pike USNL of M 8600 R, MD B, Usa 20894. Treatment of extrapulmonary TB and of TB in special situations [Internet]. Treatment of Tuberculosis: Guidelines. 4th edition. World Health Organization; 2010 [cited 2022 Feb 8]. 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