Spinal Intramedullary Tubercular Abscess

Abstract

Spinal intramedullary tubercular abscess
are extremely rare. We present here a 3
yrs young boy, with subacute paraparesis
following fever, and incontinence for
one day. His MRI showed a contrast ring
enhancing intramedullary SOL at D10-
D12 with central T1 hypointense, T2 hyperintense
core and cord expansion and
a central syrinx above. He underwent
laminectomy, evacuation of abscess,
with ATT and steroids postoperatively.
There was pus evacuated intraop,
showed positive AFB bacilli, and the wall
biopsy showed inflammatory cell infiltrate
and no giant cell or granuloma formation.
Child improved well and discharged well.
Thus presenting worlds probably first
case of a rare Intramedullary Spinal TB
abscess satisfying all Whitener's criteria
in the available literature.